Title 33, Chapter 30A, Section 5
( 33-30A-5)
The department shall assist health plan purchasing cooperatives. To
this end, the department is responsible for: (1) Initially and thereafter annually certifying that each cooperative complies with the provisions of this chapter and regulations adopted pursuant to Code Section 33-30A-9. The department may decertify any cooperative if the cooperative fails to comply with the provisions of this chapter and the regulations adopted by the Commissioner; (2) Conducting an annual review of the performance of each
cooperative to ensure that the cooperative is in compliance with
the provisions of this chapter and applicable regulations; (3) Establishing criteria for plans to be offered through
cooperatives to cooperative members. Such plans may include
without limitation fee-for-service plans, preferred provider
organizations, health maintenance organizations, provider
sponsored health care corporation plans, and medical savings
accounts; (4) Receiving and reviewing appeals by members of a cooperative
and carriers whose grievances were not resolved by the
cooperative; and (5) Providing annually to the House Committee on Insurance and the
Senate Insurance and Labor Committee a detailed status report on
the effect and administration of this chapter. |