NONPROFIT HEALTH SERVICE PLAN CORPORATIONS

Accounting and bookkeeping

Accounting systems, internal control evaluations, Minn. Statutes 2004 60A.129

Accounts receivable, Minn. Statutes 2004 295.56

Billing procedures, health care gross revenues taxes, separate statement, Minn. Statutes 2004 295.53

Accreditation not required, Minn. Statutes 2004 62Q.37

Administrative staff, Minn. Statutes 2004 145.61

Administrative supervision

Insurance companies, Minn. Statutes 2004 60G.01 to 60G.09

Advertising, Medicare supplement insurance, Minn. Statutes 2004 62A.31

Affidavits, articles of incorporation, filing, Minn. Statutes 2004 62C.06

Affiliates, cost containment goals, election, Minn. Statutes 2004 62J.041

Agents, Minn. Statutes 2004 62C.17

Agreements by

Prohibited agreements, Patient Protection Act, Minn. Statutes 2004 62J.71

Allied independent health providers

Defined, Minn. Statutes 2004 62Q.095

Expanded provider networks, Minn. Statutes 2004 62Q.095

Payments to, reimbursements, Minn. Statutes 2004 62Q.095

Referrals, Minn. Statutes 2004 62Q.095

Reports about, Minn. Statutes 2004 62Q.746

Scope of practice, abortion regulation, compliance, Minn. Statutes 2004 62Q.145

Alternative dispute resolution

Commerce Department, duties, Minn. Statutes 2004 62Q.106, 62Q.19

Essential community providers, cooperation, Minn. Statutes 2004 62Q.19

Investigations, Minn. Statutes 2004 62Q.106

Orders, Minn. Statutes 2004 62Q.106

Annual statements, NAIC, Minn. Statutes 2004 60A.129

Appeals

Denial, mentally retarded or related conditions children, boarding care costs, parental contribution, effect, Minn. Statutes 2004 252.27

Subscriber contracts, order of disapproval, Minn. Statutes 2004 62C.14

Application of law

Audits and examinations, Minn. Statutes 2004 60A.129

Breast implants, coverage, underwriting practices, Minn. Statutes 2004 62A.285

Certification of coverage, Minn. Statutes 2004 62Q.181

Continuation and conversion privileges, Minn. Statutes 2004 62C.142

Cost-sharing, Minn. Statutes 2004 62Q.49

Demonstration projects, Minn. Statutes 2004 62A.62

Dental procedures, hospitalization and general anesthesia, Minn. Statutes 2004 62A.308

Dependents, coverage, Minn. Statutes 2004 62A.302

Drug prescriptions written by nonphysicians, Minn. Statutes 2004 62A.307

Expanded provider networks, Minn. Statutes 2004 62Q.095

Health plan companies, Minn. Statutes 2004 62Q.02, 62Q.68

Health plan policies issued as stop loss coverage, Minn. Statutes 2004 60A.235

Individual market regulation, Minn. Statutes 2004 62A.65

Insurance taxes, insurance laws, exemption, Minn. Statutes 2004 62C.01

Insurers Rehabilitation and Liquidation Act, Minn. Statutes 2004 60B.02

Medical tests ordered by advanced practice nurses, Minn. Statutes 2004 62A.3091

Negotiated provider payments, Minn. Statutes 2004 62Q.49

Patient Protection Act, disclosure, Minn. Statutes 2004 62J.72

Point-of-service options, Minn. Statutes 2004 62Q.51

Reserves, actuarial opinions, Minn. Statutes 2004 61A.25

Subscriber contracts, Minn. Statutes 2004 62A.02, 62A.303

Surgical first assistants, Minn. Statutes 2004 62A.3092

Transfer to substantially similar policy, Minn. Statutes 2004 62A.105

Utilization Review Act, Minn. Statutes 2004 62M.01

X-rays ordered by advanced practice nurses, Minn. Statutes 2004 62A.3091

Appraisals, costs, payment, Minn. Statutes 2004 60A.03

Approvals

Articles of incorporation, amendment, Minn. Statutes 2004 62C.06

Combination of health services, Minn. Statutes 2004 62C.04

Rates, Minn. Statutes 2004 62C.15

Service agreements, Minn. Statutes 2004 62C.16

Articles of incorporation

Amendments, Minn. Statutes 2004 62C.03, 62C.04, 62C.06

Approval, procedure, Minn. Statutes 2004 62C.06

Contents, Minn. Statutes 2004 62C.07

Filing, Minn. Statutes 2004 62C.06

Order or affidavit of officers, Minn. Statutes 2004 62C.06

Requirements, Minn. Statutes 2004 62C.05

Secretary of state, duties, Minn. Statutes 2004 62C.06

Assessments

Exemptions defined, Minn. Statutes 2004 62J.041

Health Coverage Reinsurance Association, premiums, Minn. Statutes 2004 62L.21, 62L.22

Assets

Annual audit reports, Minn. Statutes 2004 60A.129

Capital, Minn. Statutes 2004 60A.129, 60G.21, 62C.09

Hazardous condition, Minn. Statutes 2004 60G.20, 60G.21, 60G.22

Investments, limitations, Minn. Statutes 2004 61A.28, 61A.31

Assignments

Accounts receivable, health care gross revenues taxes, liability, Minn. Statutes 2004 295.56

Claim discounts, Minn. Statutes 2004 72A.201

Audits and examinations

Books and records, access, Minn. Statutes 2004 62C.11

Desk audits, expenses, payment, Minn. Statutes 2004 60A.03

Expenses, payment, Minn. Statutes 2004 60A.03, 62C.11

Frequency, Minn. Statutes 2004 62C.11

Generally, Minn. Statutes 2004 60A.129

Independent audits, Minn. Statutes 2004 62Q.37

Loss ratio standards, compliance audits, Minn. Statutes 2004 62A.021

Not performed, notice, Minn. Statutes 2004 62C.11

Rulemaking, Minn. Statutes 2004 60A.13

Authorization

Ambulatory mental health services, extended coverage, Minn. Statutes 2004 62A.152

Contracts, Minn. Statutes 2004 62C.03

Generally, Minn. Statutes 2004 62C.03

Bankruptcy, defined, Minn. Statutes 2004 62A.31

Benefits

Coordination, group insurance, Minn. Statutes 2004 62A.046

Human services recipients, Minn. Statutes 2004 62A.045

Lifetime benefits, Minn. Statutes 2004 62Q.49

Offsets, Minn. Statutes 2004 62C.14, 62D.10

Withholding, newborns, premium payments, Minn. Statutes 2004 62A.042

Blue Cross/Blue Shield, representation, Medical Education and Research Advisory Committee, Minn. Statutes 2004 62J.692

Burden of proof

Forms or rates, compliance with law, Minn. Statutes 2004 62A.02

Bylaws

Amendment, Minn. Statutes 2004 62C.03, 62C.04, 62C.06

Contents, Minn. Statutes 2004 62C.07

Fees, payment, Minn. Statutes 2004 62C.06

Requirements, Minn. Statutes 2004 62C.05

Capital

Annual audit reports, Minn. Statutes 2004 60A.129

Increase, hazardous financial condition, Minn. Statutes 2004 60G.21

Risk-based capital requirements, Minn. Statutes 2004 60A.50 to 60A.592, 62C.09

Certificates and certification

Coverage, federal regulations, compliance, Minn. Statutes 2004 62Q.181

Subscriber certificates, see Subscriber contracts under this topic

Workers' compensation, Minn. Statutes 2004 176.1351

Certificates of authority

Application, forms, Minn. Statutes 2004 62C.08

Denial, revocation, or suspension

Existing corporations, Minn. Statutes 2004 62C.03

Generally, Minn. Statutes 2004 62C.12

Small employer health benefit plan violations, Minn. Statutes 2004 62L.11

Third-party contracts, health care gross revenues taxes violations, Minn. Statutes 2004 295.582

Violations, Minn. Statutes 2004 62C.21

Existing corporations, Minn. Statutes 2004 62C.03

Foreign service plan corporations, Minn. Statutes 2004 62C.08, 62C.12

Granting, Minn. Statutes 2004 62C.08

Certificates of incorporation, issuance, Minn. Statutes 2004 62C.06

Cessation of business, Minn. Statutes 2004 62A.65

Chemical use assessments, health plan companies, Minn. Statutes 2004 62Q.1055

Children, see Coverage under this topic

Claims

Discounts, Minn. Statutes 2004 72A.201

Service code changes, Minn. Statutes 2004 62Q.737

Standards, review, Minn. Statutes 2004 62Q.107

Subrogation, notice, Minn. Statutes 2004 62A.096

Unique patient identification numbers, use, Minn. Statutes 2004 62J.54

Claims administrators

Utilization review, Minn. Statutes 2004 62M.02, 62M.04 to 62M.07

Coinsurance, see Deductibles, copayments, or coinsurance under this topic

Combination of health services, Minn. Statutes 2004 62C.04

Complaint systems

Health care information clearinghouse, duties, Minn. Statutes 2004 62J.2930

Complaints

Alternative dispute resolution, Minn. Statutes 2004 62Q.106, 62Q.19

Appeals, Minn. Statutes 2004 62C.14, 252.27

Denial, mentally retarded or related conditions children, boarding care costs, parental contribution, effect, Minn. Statutes 2004 252.27

Investigations, Minn. Statutes 2004 62Q.106

Orders, Minn. Statutes 2004 62Q.106

Conflict of laws

Portability of coverage, prevailing law, Minn. Statutes 2004 62Q.18

Consumer boards, representation, technology assistance review panel, Minn. Statutes 2004 256.9691

Consumer cost-sharing, see Cost-sharing under this topic

Consumer director, Minn. Statutes 2004 145.61

Contested cases

Annual audit requirements, exemption, Minn. Statutes 2004 60A.129

Birth records, group purchaser data, disclosure, Minn. Statutes 2004 144.225

Hazardous financial condition, Minn. Statutes 2004 60G.21, 60G.22

Subscriber contracts, forms or rates, Minn. Statutes 2004 62A.02

Third-party contracts, health care gross revenues taxes violations, fines, censure, or revocation or suspension of certification, Minn. Statutes 2004 295.582

Continuation and conversion privileges

Application of law, Minn. Statutes 2004 62C.142

Continuation coverage, exhaustion, Minn. Statutes 2004 62E.16

Dependent children, Minn. Statutes 2004 62A.20, 62A.21, 62C.142, 62E.16

Exclusionary riders, Minn. Statutes 2004 62A.65

Former spouses, Minn. Statutes 2004 62A.21, 62C.142, 62E.16

Group coverage, generally, Minn. Statutes 2004 60A.082, 60A.086

Group policyholder or contract holders, duties, Minn. Statutes 2004 62A.146, 62A.17

Portability of coverage, individual market regulation, Minn. Statutes 2004 62A.65

Preexisting conditions, Minn. Statutes 2004 60A.082, 62A.65, 62Q.18

Pregnant women, Minn. Statutes 2004 62A.65

Spouses, Minn. Statutes 2004 62A.20, 62E.16

Survivors, Minn. Statutes 2004 62A.146, 62E.16

Terminated or laid off employees, Minn. Statutes 2004 62A.17

Underwriting, Minn. Statutes 2004 62A.65

Contract benefits analysts, memberships

Technology assistance review panel, Minn. Statutes 2004 256.9691

Contracts

Authority to enter, Minn. Statutes 2004 62C.03

Cancellation, Minn. Statutes 2004 72A.20, 72A.51

Chemical dependency treatment programs, accountability plan participation, Minn. Statutes 2004 62Q.135

Closed-panel health plans, Minn. Statutes 2004 62Q.43

Demonstration providers, Minn. Statutes 2004 256B.037, 256B.69

Dental services, Minn. Statutes 2004 256B.037, 256B.69

Generally, Minn. Statutes 2004 62C.13

Government agencies, Minn. Statutes 2004 62C.13

Health care network cooperatives, relicensure, Minn. Statutes 2004 62R.07

Health maintenance organization contracts

Assignment or transfer, Minn. Statutes 2004 60B.17, 60B.25

Generally, Minn. Statutes 2004 62D.05, 62D.13

Health provider cooperatives, Minn. Statutes 2004 62R.06

Joint undertakings, Minn. Statutes 2004 62C.13

Minnesota Comprehensive Health Association, Minn. Statutes 2004 62E.101

Minnesota employees insurance program, Minn. Statutes 2004 43A.317

Patient Protection Act, assignment of obligations, Minn. Statutes 2004 62J.701

Prohibited agreements, Minn. Statutes 2004 62A.64

Prohibited contracts, Patient Protection Act, Minn. Statutes 2004 62J.71

Provider contracts, Minn. Statutes 2004 62Q.732 to 62Q.75

Restrictive terms, Minn. Statutes 2004 62J.73

Subcontracts, Minn. Statutes 2004 62C.13

Subscriber contracts, see same under this topic

Contributing members, nonprofit health service plan corporations defined as, Minn. Statutes 2004 62E.02

Cooperation

Essential community providers, Minn. Statutes 2004 62Q.19

Health care data and research initiatives, Minn. Statutes 2004 62J.301

Copayments, see Deductibles, copayments, or coinsurance under this topic

Cost containment, see under HEALTH CARE

Cost-sharing

Change of clinic or physician, higher cost-sharing prohibited, Minn. Statutes 2004 62Q.43

Chemical dependency treatment, Minn. Statutes 2004 62Q.47

Closed-panel health plans, student enrollees, Minn. Statutes 2004 62Q.43

Defined, Minn. Statutes 2004 62J.041

Disclosure, Minn. Statutes 2004 62Q.49

Expanded provider networks, Minn. Statutes 2004 62Q.095

Mental health services, Minn. Statutes 2004 62Q.47

Point-of-service options, Minn. Statutes 2004 62Q.51

Prostate cancer screening, Minn. Statutes 2004 62Q.50

Coverage

Abortion, Minn. Statutes 2004 145.414

Alcoholism, treatment, Minn. Statutes 2004 62A.149

Alternative coverage, eligibility fees, crediting to premium, Minn. Statutes 2004 62D.10

Ambulatory mental health services, Minn. Statutes 2004 62A.152

Breast implants, Minn. Statutes 2004 62A.285

Cancer, Minn. Statutes 2004 62A.25, 62A.30, 62Q.50

Chemical dependency, Minn. Statutes 2004 62A.049, 62A.149, 62Q.47

Children

Adopted children, Minn. Statutes 2004 62A.27

Children born out of wedlock, Minn. Statutes 2004 62A.048, 62C.14

Children taken into custody, intake information, Minn. Statutes 2004 260B.188, 260C.188

Dental procedures, hospitalization and general anesthesia, Minn. Statutes 2004 62A.308

Disabled children, Minn. Statutes 2004 62C.14

Emotionally disabled children, Minn. Statutes 2004 62A.151

Health supervision services, Minn. Statutes 2004 62A.047

Minor female dependents, Minn. Statutes 2004 62C.14

Newborns, Minn. Statutes 2004 62C.14

Chiropractic services, Minn. Statutes 2004 62A.15

Continuation and conversion privileges, see same under this topic

Defined as plans of health coverage, Minn. Statutes 2004 62E.02

Denial of access, professional opinion required, Minn. Statutes 2004 62Q.12

Denial of benefits, limitations, Minn. Statutes 2004 62A.15

Dental services, Minn. Statutes 2004 62A.043, 62A.308

Dependent coverage, Minn. Statutes 2004 62A.301, 62A.302, 62A.308, 62C.14

Diabetes, equipment and supplies, Minn. Statutes 2004 62A.3093

Diethylstilbestrol, required coverage, Minn. Statutes 2004 62A.154

Eligibility, genetic tests, Minn. Statutes 2004 72A.139

Emergencies, prior authorization, Minn. Statutes 2004 62A.049

Exceptions, Minn. Statutes 2004 62A.65

Exclusionary riders, Minn. Statutes 2004 62A.65

Expanded provider networks, Minn. Statutes 2004 62Q.095

Fibrocystic breast condition, Minn. Statutes 2004 62A.305

Former spouses, Minn. Statutes 2004 62C.142

Guaranteed issue, health plan companies, Minn. Statutes 2004 62Q.18

Hearing aids, Minn. Statutes 2004 62Q.675

Lyme disease, treatment, Minn. Statutes 2004 62A.265

Maternity, Minn. Statutes 2004 62A.0411

Medical tests ordered by advanced practice nurses, Minn. Statutes 2004 62A.3091

Mental health services, cost-sharing, Minn. Statutes 2004 62Q.47

Optometric services, Minn. Statutes 2004 62A.15

Outpatient surgical centers, Minn. Statutes 2004 62A.153

Ovarian cancer surveillance tests, Minn. Statutes 2004 62A.30

Phenylketonuria, treatment, Minn. Statutes 2004 62A.26

Podiatrist services, Minn. Statutes 2004 62A.043

Point-of-service options, Minn. Statutes 2004 62Q.51

Port-wine stain elimination or treatment, Minn. Statutes 2004 62A.304

Portability, Minn. Statutes 2004 62A.65, 62Q.021, 62Q.18

Preexisting conditions, Minn. Statutes 2004 62A.65, 62Q.18

Prenatal care services, Minn. Statutes 2004 62A.15

Prescription drugs written by nonphysicians, Minn. Statutes 2004 62A.307

Prostate cancer screening, Minn. Statutes 2004 62Q.50

Reconstructive surgery, Minn. Statutes 2004 62A.25

Registered nurse services, Minn. Statutes 2004 62A.15

Scalp hair prostheses, Minn. Statutes 2004 62A.28

Short-term coverage, Minn. Statutes 2004 62A.65

Surgical first assistants, Minn. Statutes 2004 62A.3092

Survivor's benefits, Minn. Statutes 2004 62A.145, 62A.146

Termination, Minn. Statutes 2004 62A.146, 62C.14, 62C.142, 62Q.16

Transfer to substantially similar policy, Minn. Statutes 2004 62A.105

Ventilator-dependent persons, Minn. Statutes 2004 62A.155

Voluntary purchasing pools, Minn. Statutes 2004 62Q.17

X-rays, Minn. Statutes 2004 62A.19, 62A.3091

Damages, workers' compensation, employee treatment, computer data disclosure, Minn. Statutes 2004 176.138

Data

Access to data, Minn. Statutes 2004 62Q.03, 62Q.135

Provider information, Minn. Statutes 2004 62J.322, 62Q.746

Workers' compensation, employee treatment, disclosure, Minn. Statutes 2004 176.138

Data collection

Health care data and research initiatives, Minn. Statutes 2004 62J.321, 62J.381

Health care spending data, see Data collection under HEALTH CARE

Standard identifiers, use, Minn. Statutes 2004 62J.321

Deductibles, copayments, or coinsurance

Breast reconstructive surgery, Minn. Statutes 2004 62A.25

Children's health supervision services, exemption, Minn. Statutes 2004 62A.047

Consumer cost-sharing, effect, disclosure, Minn. Statutes 2004 62Q.49

Defined as consumer cost-sharing or subscriber liability, Minn. Statutes 2004 62J.041

Diabetes coverage, Minn. Statutes 2004 62A.3093

Lyme disease treatment, restriction, Minn. Statutes 2004 62A.265

Negotiated provider payments, effect, disclosure, Minn. Statutes 2004 62Q.49

Patient Protection Act, disclosure, application of law, Minn. Statutes 2004 62J.72

Prenatal care, exemption, Minn. Statutes 2004 62A.047

Prostate cancer screening, Minn. Statutes 2004 62Q.50

Scalp hair prostheses, Minn. Statutes 2004 62A.28

Definitions

Administrative Supervision Model Act, Minn. Statutes 2004 60G.01

Comprehensive Health Insurance Act, Minn. Statutes 2004 62E.02

Corrections Department, subrogation, Minn. Statutes 2004 243.255

Expanded provider networks, Minn. Statutes 2004 62Q.095

Health and accident insurance, Minn. Statutes 2004 62A.011, 62A.301, 62A.63

Health care cost containment, Minn. Statutes 2004 62J.03, 62J.041

Health care gross revenues taxes, Minn. Statutes 2004 295.50, 295.51

Health care information review organizations, Minn. Statutes 2004 145.61

Health plan companies, Minn. Statutes 2004 62Q.01, 62Q.45

Insurance, Minn. Statutes 2004 62C.02

Insurance fraud, Minn. Statutes 2004 60A.951

Insurance, regulation of trade practices, Minn. Statutes 2004 72A.201

Medical assistance, Minn. Statutes 2004 256B.02

Medicare supplement insurance, Minn. Statutes 2004 62A.31

Purchasing alliance stop-loss fund, Minn. Statutes 2004 256.956

Small Employer Health Benefit Act, Minn. Statutes 2004 62L.02

Subscriber contracts, Minn. Statutes 2004 62C.14

Demonstration projects, Minn. Statutes 2004 62A.62

Demonstration providers

Contracts, see same under this topic

Nonprofit health service plan corporations defined as, Minn. Statutes 2004 256B.73

Dental organizations, Minn. Statutes 2004 62Q.76 to 62Q.79

Dental services

Contracts, Minn. Statutes 2004 256B.037, 256B.69

Defined, Minn. Statutes 2004 62Q.76

Investments permitted, Minn. Statutes 2004 62C.10

Dependent coverage, see Coverage under this topic

Directors, Minn. Statutes 2004 62C.07

Disclosure

Audits by independent organizations, Minn. Statutes 2004 62Q.37

Consumer cost-sharing, effect, Minn. Statutes 2004 62Q.49

Health Plan Contracting Act, Minn. Statutes 2004 62Q.735, 62Q.737

Loss ratios, Minn. Statutes 2004 62A.021

Marketing, Minn. Statutes 2004 62Q.49

Negotiated provider payments, effect, Minn. Statutes 2004 62Q.49

Network organizations, shadow contracts, Minn. Statutes 2004 62Q.745

Provider reimbursements, usual and customary fees, Minn. Statutes 2004 62A.61

Rates, increases, Minn. Statutes 2004 62A.024

Reimbursement methodologies, Patient Protection Act, Minn. Statutes 2004 62J.72

Small employer health benefit plans, underwriting, Minn. Statutes 2004 62L.06

Workers' compensation, employee treatment data, Minn. Statutes 2004 176.138

Dividends, suspension or limitation

Hazardous financial condition, Minn. Statutes 2004 60G.21

Electronic data transmission or access, Minn. Statutes 2004 72A.20

Enforcement of law

Coverage, Minn. Statutes 2004 62Q.021, 62Q.181

Disclosure, usual and customary provider fees, methodology for determination, Minn. Statutes 2004 62A.61

Health care cost containment, Minn. Statutes 2004 62J.041

Voluntary purchasing pools, Minn. Statutes 2004 62Q.17

Enrollees, see Subscribers under this topic

Enrollment, Minn. Statutes 2004 62D.10, 62Q.095

Essential community providers, Minn. Statutes 2004 62Q.096, 62Q.19, 62Q.22

Essential facilities and services, Minn. Statutes 2004 62J.73

Exclusive relationships

Prohibited, Patient Protection Act, Minn. Statutes 2004 62J.73

Existing corporations, organization, Minn. Statutes 2004 62C.04

Expanded provider networks

Allied independent health providers, Minn. Statutes 2004 62Q.095, 62Q.145, 62Q.746

Generally, Minn. Statutes 2004 62Q.095

Expenditures

Cost containment, see under HEALTH CARE

Definitions, health care cost containment, Minn. Statutes 2004 62J.041

Fees, open enrollment, eligibility, Minn. Statutes 2004 62D.10

Financial requirements

Capital stock, Minn. Statutes 2004 62C.09

Dental services, Minn. Statutes 2004 62C.10

Generally, Minn. Statutes 2004 62C.09

Reserves, Minn. Statutes 2004 62C.09, 62C.10, 62J.041

Surplus, Minn. Statutes 2004 62C.09

Financial solvency regulations

Risk-based capital requirements, Minn. Statutes 2004 62C.09

Financial statements

Audits and examinations, Minn. Statutes 2004 60A.129

Filing, Minn. Statutes 2004 62C.11

NAIC annual statements, Minn. Statutes 2004 60A.129

Fines

First offense, Minn. Statutes 2004 62C.22

Notice of incorporation, failure to comply, Minn. Statutes 2004 62C.06

Patient Protection Act, violations, Minn. Statutes 2004 62J.74

Small employer health benefit plan violations, Minn. Statutes 2004 62L.11

Subsequent offenses, Minn. Statutes 2004 62C.11

Third-party contracts, health care gross revenues taxes, violations, Minn. Statutes 2004 295.582

Foreign service plan corporations

Certificates of authority, Minn. Statutes 2004 62C.08, 62C.12

Fraud, see Insurance fraud under FRAUD

Funds and accounts

Money market mutual funds, custodial account, Minn. Statutes 2004 61A.28

Gross revenues, defined, Minn. Statutes 2004 295.50

Group insurance

Continuation and conversion privileges, see same under this topic

Medical assistance prepaid demonstration project, Minn. Statutes 2004 256B.69

Group purchasers

Generally, see Group purchasers under HEALTH CARE

Nonprofit health service plan corporations defined as, Minn. Statutes 2004 62J.03

Hazardous financial condition

Contested cases, Minn. Statutes 2004 60G.21, 60G.22

Determination, authority, Minn. Statutes 2004 60G.20

Hearings, closed, Minn. Statutes 2004 60G.21

Standards, Minn. Statutes 2004 60G.20

Health care administrators

Medical records, access, rural health workers, Minn. Statutes 2004 144.1483

Health care gross revenues taxes

Billing violations, injunctions, lawsuits, Minn. Statutes 2004 295.53

Health care information, review organizations, see under HEALTH CARE

Health care providers

Claims, Minn. Statutes 2004 62Q.737

Contracts, Minn. Statutes 2004 62Q.732 to 62Q.75

Cooperatives, exception, Minn. Statutes 2004 62R.02

Disclosure, Minn. Statutes 2004 62Q.49

Nonprofit health service plan corporations defined as, Minn. Statutes 2004 295.50

Notice received, Minn. Statutes 2004 62Q.735, 62Q.739

Payments to, Minn. Statutes 2004 62A.25, 62Q.51, 62Q.736

Reports about, Minn. Statutes 2004 62Q.746

Health care risk adjustment system, Minn. Statutes 2004 60A.235, 62Q.03

Health carriers, nonprofit health service plan corporations defined as, Minn. Statutes 2004 62A.011, 62L.02

Health Coverage Reinsurance Association, see Health carriers under HEALTH COVERAGE REINSURANCE ASSOCIATION

Health plan companies

Generally, see Health plan companies under HEALTH AND ACCIDENT INSURANCE

Nonprofit health service plan corporations defined as

Health care cost containment, Minn. Statutes 2004 62J.03, 62J.041

Health plan companies, Minn. Statutes 2004 62Q.01

Health Plan Contracting Act, Minn. Statutes 2004 62Q.733

Independent audits, Minn. Statutes 2004 62Q.37

Purchasing alliance stop-loss fund, Minn. Statutes 2004 256.956

Participating providers, Minn. Statutes 2004 62C.16

Health provider cooperatives, see Provider cooperatives under HEALTH CARE COOPERATIVES

Hearings

Agent's or solicitor's license, revocation or suspension, Minn. Statutes 2004 62C.17

Certificates of authority, revocation or suspension, Minn. Statutes 2004 62C.12

Hazardous financial condition, Minn. Statutes 2004 60G.21

Income and franchise taxes

Exemption, Minn. Statutes 2004 290.05, 290.0921

General law, see INCOME AND FRANCHISE TAXES

Subject to taxation, Minn. Statutes 2004 290.05

Information about

Health care information clearinghouse, duties, Minn. Statutes 2004 62J.2930

Injunctions

Financial reports or statements, unfair or deceptive trade practices, Minn. Statutes 2004 60A.129

Health care gross revenues taxes, Minn. Statutes 2004 295.53

Insolvency

Risk-based capital requirements, Minn. Statutes 2004 60A.50 to 60A.592, 62C.09

Insolvency, defined, Minn. Statutes 2004 62A.31

Insurance taxes, see INSURANCE TAXES

Insureds, see Subscribers under this topic

Insurers

Nonprofit health service plan corporations defined as

Administrative Supervision Model Act, Minn. Statutes 2004 60G.01

Comprehensive Health Insurance Act, Minn. Statutes 2004 62E.02

Health and accident insurance, Minn. Statutes 2004 62A.301, 62A.63

Insurance fraud, Minn. Statutes 2004 60A.951

Insurance, regulation of trade practices, Minn. Statutes 2004 72A.201

Interpretation of law

Abortion, coverage, Minn. Statutes 2004 145.414

Patient Protection Act, Minn. Statutes 2004 62J.73

Investigations, complaints, Minn. Statutes 2004 62Q.106

Investments

Assets, limitations, Minn. Statutes 2004 61A.28, 61A.31

Commercial paper, Minn. Statutes 2004 61A.28

Dental services, Minn. Statutes 2004 62C.10

Generally, Minn. Statutes 2004 62C.10

Money market mutual funds, Minn. Statutes 2004 61A.28

Ratings, Minn. Statutes 2004 61A.28

Real property, Minn. Statutes 2004 61A.31

Securities, Minn. Statutes 2004 61A.28

Issuers, nonprofit health service plan corporations defined as, Minn. Statutes 2004 62A.31

Joint operating arrangements

Combination of health services, Minn. Statutes 2004 62C.04

Lawsuits

Denial, mentally retarded or related conditions children, boarding care costs, Minn. Statutes 2004 252.27

Dispute resolution, Minn. Statutes 2004 62Q.106, 62Q.19

Health care gross revenues taxes, Minn. Statutes 2004 295.53

Liability

Health care gross revenues taxes, Minn. Statutes 2004 295.56

Health Coverage Reinsurance Association, premiums, Minn. Statutes 2004 62L.21

Patient data, disclosure, immunity, Minn. Statutes 2004 62J.321

Subscribers, Minn. Statutes 2004 62C.14, 62C.18, 62J.041

Transfer of health maintenance organization provider contracts, Minn. Statutes 2004 60B.17, 60B.25

Transfer of risks, claims, Minn. Statutes 2004 62L.20

Licenses

Agents, solicitors, Minn. Statutes 2004 62C.17

Denial, revocation, or suspension, Minn. Statutes 2004 62C.17, 62L.11

Generally, Minn. Statutes 2004 62C.20

Health care network cooperatives licensed as, Minn. Statutes 2004 62R.03, 62R.07

Health care risk adjustment system, participation, Minn. Statutes 2004 62Q.03

Insurance producers

Generally, see Licenses and licensing under INSURANCE PRODUCERS

Qualifications, Minn. Statutes 2004 62C.17

Utilization review, compliance, Minn. Statutes 2004 62M.03

Life insurance policies, cancellation, notice, Minn. Statutes 2004 72A.20

Liquidation, see under INSURANCE COMPANIES

Lists

Patients, mailing lists, Minn. Statutes 2004 62J.321

Terminated policyholders, cessation of business, Minn. Statutes 2004 62A.65

Loss ratios, compliance, Minn. Statutes 2004 62A.65

Managed care organizations

Generally, see Managed care plans or organizations under HEALTH AND ACCIDENT INSURANCE

Nonprofit health service plan corporation defined as, Minn. Statutes 2004 62Q.01, 62Q.45

Managed care, protocols, Minn. Statutes 2004 62Q.095

Marketing

Disclosure, Minn. Statutes 2004 62Q.49

Loss ratios, disclosure, Minn. Statutes 2004 62A.021

Marks or symbols, limitations, Minn. Statutes 2004 62C.04

Medical directors, representation

Technology assistance review panel, Minn. Statutes 2004 256.9691

Medicare supplement insurance, see under HEALTH AND ACCIDENT INSURANCE

Mergers and consolidations

Combination of health services, Minn. Statutes 2004 62C.04

Monitoring, Minn. Statutes 2004 62J.041

NAIC annual statements, audit reports, Minn. Statutes 2004 60A.129

Name, limitations, Minn. Statutes 2004 62C.04

Negotiated payment rates, Minn. Statutes 2004 62A.25, 62Q.51

Net worth, monitoring, Minn. Statutes 2004 62J.041

Nonparticipating providers

Liability of subscribers, limitation, Minn. Statutes 2004 62C.18

Services, generally, Minn. Statutes 2004 62C.03

Nonprofit Health Service Plan Corporations Act, Minn. Statutes 2004 62C.01 to 62C.23

Notice given

Certified public accountants, Minn. Statutes 2004 60A.129

Dependent students, termination of health insurance coverage, Minn. Statutes 2004 62A.301

Forms or rates, request for hearing, Minn. Statutes 2004 62A.02

Incorporation, Minn. Statutes 2004 62C.06

Providers, contracts, Minn. Statutes 2004 62Q.735, 62Q.739

Rate changes, Minn. Statutes 2004 62A.023, 62A.024

Reconstructive surgery, availability of coverage, Minn. Statutes 2004 62A.25

Small employer health benefit plans, Minn. Statutes 2004 62L.09, 62L.20

Subscribers, cessation of business, Minn. Statutes 2004 62A.65

Termination of coverage, disabled dependents, Minn. Statutes 2004 62C.14

Notice received

Annual audits, adverse financial conditions, Minn. Statutes 2004 60A.129

Certified public accountants, Minn. Statutes 2004 60A.129

Cost containment goals, exceeding, Minn. Statutes 2004 62J.041

Forms or rates, disapproval or withdrawal of approval, hearings, Minn. Statutes 2004 62A.02

Subrogation claims, Minn. Statutes 2004 62A.096

Officers

Affidavits, articles of incorporation, filing, Minn. Statutes 2004 62C.06

Election, Minn. Statutes 2004 62C.07

Financial statements, verification, Minn. Statutes 2004 62C.11

Open enrollment

Expanded provider network information, Minn. Statutes 2004 62Q.095

Generally, Minn. Statutes 2004 62D.10

Orders

Complaints, Minn. Statutes 2004 62Q.106

Hazardous financial condition, Minn. Statutes 2004 60G.21

Third-party contracts, health care gross revenues taxes violations, censure, Minn. Statutes 2004 295.582

Organization, Minn. Statutes 2004 62C.04

Payments by

Allied independent health providers, reimbursements, Minn. Statutes 2004 62Q.095

Ambulance services, reimbursements, Minn. Statutes 2004 62J.48

Audits and examinations, expenses, Minn. Statutes 2004 60A.03

Payment to governmental institutions, Minn. Statutes 2004 62A.044, 62A.081

Providers, Minn. Statutes 2004 62A.25, 62Q.51, 62Q.736

Special transportation services, reimbursements, Minn. Statutes 2004 62J.48

Third-party contracts, health care gross revenues, transferred additional expenses, Minn. Statutes 2004 295.582

Visitations, expenses, Minn. Statutes 2004 60A.03

Performance standards, Minn. Statutes 2004 62Q.37

Personal health care services

Funding, recommendations, Minn. Statutes 2004 62Q.33

Point-of-service options, Minn. Statutes 2004 62Q.51

Policy of state, abortion, coverage, Minn. Statutes 2004 145.414

Portability, see Coverage under this topic

Preferred networks

Minnesota Comprehensive Health Association, Minn. Statutes 2004 62E.101

When considered expanded provider networks, Minn. Statutes 2004 62Q.095

Premiums

Closed panel health plans, student enrollees, higher premium for change option, Minn. Statutes 2004 62Q.43

Dependent coverage, Minn. Statutes 2004 62C.14

Expanded provider networks, Minn. Statutes 2004 62Q.095

Premiums paid by state, insurance taxes, exemptions, Minn. Statutes 2004 297I.15

Rates

Gender-based decisions, Minn. Statutes 2004 62A.306

Health care cost containment, Minn. Statutes 2004 62J.041

Increase, disclosure, Minn. Statutes 2004 62A.024

Point-of-service options, Minn. Statutes 2004 62Q.51

Port-wine stain elimination or treatment, Minn. Statutes 2004 62A.304

Rate cells, filing, Minn. Statutes 2004 62A.65

Regional index rates, requesting, Minn. Statutes 2004 62A.65

Reasonable, adequate, and nonpredatory premiums, Minn. Statutes 2004 72A.20

Survivors, Minn. Statutes 2004 62A.146

Prepaid group practice plans, exemption, Minn. Statutes 2004 62C.01

Prepaid health plans, see PREPAID HEALTH PLANS

Prior authorization, emergencies, Minn. Statutes 2004 62A.049

Private health care coverage

Nonprofit health service plan corporations defined as, Minn. Statutes 2004 256B.02

Private insurance coverage

Nonprofit health service corporations defined as, Minn. Statutes 2004 243.255

Prohibited health plans, disclosures, noncompliance, Minn. Statutes 2004 62Q.49

Provider networks, Minn. Statutes 2004 62Q.106, 62Q.19

Providers, see Health care providers under this topic

Qualifying coverage

Nonprofit health service plan corporation defined as, Minn. Statutes 2004 62L.02

Rates, Minn. Statutes 2004 62C.15

Records and record keeping

Access, examination, Minn. Statutes 2004 62C.11

Electronic data transmission or access, Minn. Statutes 2004 72A.20

Rehabilitation, see under INSURANCE COMPANIES

Reports given

Assets, market value, Minn. Statutes 2004 60G.21

Audits, Minn. Statutes 2004 60A.129

Comprehensive health insurance plans, qualified and unqualified plans, Minn. Statutes 2004 62E.05

Expenditures, Minn. Statutes 2004 62J.041

Health care gross revenues taxes, qualifying exemptions, Minn. Statutes 2004 295.53

Interim financial reports, Minn. Statutes 2004 60G.21

Provider information, Minn. Statutes 2004 62Q.746

Small employer health benefit plans, Minn. Statutes 2004 62L.10

Reports received, adverse financial conditions, Minn. Statutes 2004 60A.129

Representation

Dental Access Advisory Committee, Minn. Statutes 2004 256B.55

Health Coverage Reinsurance Association, Minn. Statutes 2004 62L.14

Minnesota Comprehensive Health Association, Minn. Statutes 2004 62E.10

Organ and Tissue Transplant Advisory Committee, Minn. Statutes 2004 256B.0629

Reserves

Actuarial opinions, Minn. Statutes 2004 61A.25

Additions to, net additions, deduction from gross revenues, Minn. Statutes 2004 295.53

Calculations, trade secret information, Minn. Statutes 2004 62J.041

Monitoring, Minn. Statutes 2004 62J.041

Reports about, Minn. Statutes 2004 62J.041

Requirements, Minn. Statutes 2004 62C.09, 62C.10, 62J.041

Retaliation by, health care providers

Retaliation against prohibited, Minn. Statutes 2004 62C.16, 62J.71

Revenues, reports about, Minn. Statutes 2004 62J.041

Risk-based capital requirements, Minn. Statutes 2004 60A.50 to 60A.592, 62C.09

Rulemaking about

Annual audit, Minn. Statutes 2004 60A.13

Generally, Minn. Statutes 2004 62C.19, 62C.23

Open enrollment, Minn. Statutes 2004 62D.10

Voluntary purchasing pools, Minn. Statutes 2004 62Q.17

Scope of practice, abortion, compliance, Minn. Statutes 2004 62Q.145

Service agreements, Minn. Statutes 2004 62C.16

Short-term coverage, Minn. Statutes 2004 62A.65

Small employer health benefit plans, see SMALL EMPLOYER HEALTH BENEFIT PLANS

Solicitors or agents

Bond, new or reinstated license, Minn. Statutes 2004 62C.17

Licenses, see same under this topic

Staff model health plan companies

Application of law, exemption, Minn. Statutes 2004 62Q.095

Nonprofit health service plan corporations defined as, Minn. Statutes 2004 295.50

Statutes of limitations, subrogation, Minn. Statutes 2004 62A.096

Stock, capital stock, Minn. Statutes 2004 62C.09

Subrogation

Corrections Department or county, convicts' insurance benefits, Minn. Statutes 2004 243.255

Human services recipients, third party payers, Minn. Statutes 2004 62A.045

Notice, Minn. Statutes 2004 62A.096

Regulation, Minn. Statutes 2004 62A.095

Statutes of limitations, Minn. Statutes 2004 62A.096

Subscriber contracts

Application of law, Minn. Statutes 2004 62A.02

Approval, standards, Minn. Statutes 2004 62A.02

Armed forces reserve or National Guard members, unfair trade practices, Minn. Statutes 2004 72A.20

Contents, Minn. Statutes 2004 62C.14, 62C.142

Contested cases, forms or rates, Minn. Statutes 2004 62A.02

Copayments, see Deductibles, copayments, or coinsurance under this topic

Covered persons, defined, Minn. Statutes 2004 60A.086

Deductibles, copayments, or coinsurance, see same under this topic

Definitions

Comprehensive Health Insurance Act, Minn. Statutes 2004 62E.02

Health and accident insurance, Minn. Statutes 2004 62A.011

Health plan companies, Minn. Statutes 2004 62Q.01

Interagency Services for Children with Disabilities Act, Minn. Statutes 2004 125A.023

Minnesota Life and Health Insurance Guaranty Association Act, Minn. Statutes 2004 61B.20

Disapproved form, use unlawful, Minn. Statutes 2004 62C.14

Disapproved rate schedules, issue or delivery unlawful, Minn. Statutes 2004 62C.15

Filing, Minn. Statutes 2004 62A.02

Forms, Minn. Statutes 2004 62A.02 to 62A.04, 62C.14

Generally, Minn. Statutes 2004 62C.13

Group contracts, Minn. Statutes 2004 60A.086, 62A.049, 62A.149

Group health plans, application of law, Minn. Statutes 2004 62A.02

Interpretation, Minn. Statutes 2004 62C.14

Issuance, Minn. Statutes 2004 62A.02, 62A.285

Life and Health Insurance Guaranty Association, Minn. Statutes 2004 61B.18 to 61B.32

Limits, determining, Minn. Statutes 2004 72A.20

Loss ratios, Minn. Statutes 2004 62A.02, 62A.021

Maternity benefits, Minn. Statutes 2004 62C.14

Medicare supplement insurance, see under HEALTH AND ACCIDENT INSURANCE

Minnesota Life and Health Insurance Guaranty Association, see Coverage under MINNESOTA LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION

Newborn infant coverage, Minn. Statutes 2004 62C.14

Offset of other benefits prohibited, Minn. Statutes 2004 62C.14

Outpatient surgical care centers, coverage, Minn. Statutes 2004 62A.153

Payments, limitations, Minn. Statutes 2004 62C.03

Provider selection, Minn. Statutes 2004 62C.05, 62C.14

Readability, Minn. Statutes 2004 72C.03, 72C.11

Reduced benefits, Minn. Statutes 2004 62C.142

Renewal, Minn. Statutes 2004 62A.285, 62A.65

Risk classification, filing, Minn. Statutes 2004 62A.02

Subscriber's copy or certificate, Minn. Statutes 2004 62C.14

Transfer to substantially similar policy, Minn. Statutes 2004 62A.105

Subscriber liability

Contract, provisions, Minn. Statutes 2004 62C.14

Defined, Minn. Statutes 2004 62J.041

Generally, Minn. Statutes 2004 62C.14, 62C.18

Nonparticipating providers, notice, Minn. Statutes 2004 62C.18

Subscribers

Civil penalties imposed by Commerce Department, division and distribution to, Minn. Statutes 2004 45.027

Contracts, see Subscriber contracts under this topic

Cost-sharing, see same under this topic

Data, provider utilization, Minn. Statutes 2004 62Q.746

Defined, Minn. Statutes 2004 62Q.76

Definitions, Minn. Statutes 2004 62J.70, 62Q.01

Electronic data transmission or access, Minn. Statutes 2004 72A.20

Liability, Minn. Statutes 2004 62C.14, 62C.18, 62J.041

Notice received, health carriers cessation of business, Minn. Statutes 2004 62A.65

Patient Protection Act, Minn. Statutes 2004 62J.695 to 62J.76

Rights, health care information clearinghouse, duties, Minn. Statutes 2004 62J.2930

Subscription charges, rates, Minn. Statutes 2004 62C.15

Supplemental policies or contracts

Minnesota Life and Health Insurance Guaranty Association, see Coverage under MINNESOTA LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION

Surplus

Annual audit reports, Minn. Statutes 2004 60A.129

Increase, hazardous financial condition, Minn. Statutes 2004 60G.21

Requirements, Minn. Statutes 2004 62C.09

Taxes, exemptions, defined, Minn. Statutes 2004 62J.041

Technology assistance review panel

Health Department, use, Minn. Statutes 2004 144.05

Trade secret information, reserve calculations, Minn. Statutes 2004 62J.041

Transacting business in Minnesota, defined, Minn. Statutes 2004 295.51

Underwriting

Gender-based decisions, Minn. Statutes 2004 62A.306, 62A.65

Human services recipients, Minn. Statutes 2004 62A.045

Preexisting conditions, Minn. Statutes 2004 62A.65

Violations, Minn. Statutes 2004 62A.285

Unfair or deceptive trade practices

Bloodborne pathogen and HIV tests, Minn. Statutes 2004 72A.20

Domestic abuse victims, Minn. Statutes 2004 72A.20

Financial reports, statements, or other documents, Minn. Statutes 2004 60A.129

Generally, Minn. Statutes 2004 62A.021, 62C.19

Health care providers, inappropriate incentives, Minn. Statutes 2004 72A.20

Health risk avoidance, Minn. Statutes 2004 72A.20

Penalties, Minn. Statutes 2004 62A.021

Utilization review, see HEALTH CARE UTILIZATION REVIEW

Valuation procedures, annual audit reports, Minn. Statutes 2004 60A.129

Violations and penalties

Application of law, Minn. Statutes 2004 62A.285

Certificates of authority, revocation or suspension, Minn. Statutes 2004 62C.21

Civil penalties, division and distribution to enrollees, Minn. Statutes 2004 45.027

Employer violations, Minn. Statutes 2004 62A.303

Financial reports, statements, or other documents, Minn. Statutes 2004 60A.129

Forms, unlawful use, Minn. Statutes 2004 62A.02

Generally, Minn. Statutes 2004 62C.21, 62C.22

Health care gross revenues taxes, Minn. Statutes 2004 295.53

Material false statement, fines, imprisonment, Minn. Statutes 2004 62C.22

Patient Protection Act, fines, injunctions, Minn. Statutes 2004 62J.74

Retaliation against providers, Minn. Statutes 2004 62C.16

Small employer health benefit plan violations, Minn. Statutes 2004 62L.11

Solicitors or agents, license revocation or suspension, Minn. Statutes 2004 62C.17

Third-party contracts, health care gross revenues taxes violations, fines, censure, or revocation or suspension of certification, Minn. Statutes 2004 295.582

Underwriting violations, Minn. Statutes 2004 62A.285

Visitations, expenses, payment, Minn. Statutes 2004 60A.03

Workers' compensation

Employee treatment, computer data, disclosure, Minn. Statutes 2004 176.138