Title 33, Chapter 20, Section 17
( 33-20-17)
(a) Any health care corporation organized or operated under this
chapter and engaged in the operation of a health care plan may
contract with any agency, instrumentality, or political subdivision
of the United States of America or of this state for the furnishing
of health care services and in aid or furtherance of said contract,
may accept, receive, and administer in trust funds directly or
indirectly made available by the agency, instrumentality, or
political subdivision and, further, any health care corporation may
subcontract with any organization which has contracted with any
agency, instrumentality, or political subdivision of the United
States of America or of this state for the furnishing of medical,
hospital, and other health care services, by which subcontract the
health care corporation undertakes to furnish the services required
by the basic contract. (b) A health care corporation may enter into contracts with a
corporation or association in this state or elsewhere so that
reciprocity of benefits may be provided to subscribers; transfer of
subscribers from one corporation to another may be effected to
conform to the subscriber's place of residence; uniform benefits may
be provided for all or for separate categories of employees and the
dependents of such employees of corporations and other organizations
transacting business in this state or elsewhere and a composite
rate, that is, a rate representing the composite experience of the
areas involved, may be charged for such employees and their
dependents; or hospital or other health care services may be
provided for subscribers of the corporation or other corporations or
associations by means of risk sharing and other joint undertakings,
including reinsurance, which the directors of the corporation may
from time to time approve in accordance with the laws of this state.
Group master contracts and the contracts issued to subscribers by a
corporation subject to this chapter may specify the circumstances
under which payments will be made and the rates of such payment to
hospitals or other health care providers, wherever located, with
which the corporation has no contract for hospital service or other
health care service furnished the subscribers and other
beneficiaries under the contract. (c) Each health care corporation may in its discretion receive and
accept from governmental agencies payment covering all or part of
the cost to provide health care services for needy or other persons.
Each health care corporation may in its discretion receive and
accept payments from private agencies, corporations, associations,
groups of individuals, or others covering all or part of the cost of
subscriptions to provide health care service for needy and other
persons. |