Minnesota Administrative Rules

CHAPTER 4685, HEALTH MAINTENANCE ORGANIZATIONS

DEPARTMENT OF HEALTH

Table of Parts

Part	Title
DEFINITIONS
4685.0100	DEFINITIONS.
4685.0200	AUTHORITY, SCOPE AND PURPOSE.
4685.0300	APPLICATION.
4685.0400	OPERATING REQUIREMENTS AND REQUIREMENTS FOR ISSUANCE OF A CERTIFICATE OF AUTHORITY.
4685.0500	INSURANCE.
4685.0600	[Repealed, L 2004 c 285 art 3 s 11]
4685.0700	COMPREHENSIVE HEALTH MAINTENANCE SERVICES.
4685.0800	[Repealed, 16 SR 2478]
4685.0801	COPAYMENTS.
4685.0805	UNCOVERED EXPENDITURES.
4685.0815	INCURRED BUT NOT REPORTED LIABILITIES.
4685.0900	SUBROGATION AND COORDINATION OF BENEFITS.
COORDINATION OF BENEFITS
4685.0905	PURPOSE AND APPLICABILITY.
4685.0910	DEFINITIONS.
4685.0915	COORDINATION OF BENEFITS; PROCEDURES.
4685.0925	PROCEDURE TO BE FOLLOWED BY SECONDARY PLAN.
4685.0930	MISCELLANEOUS PROVISIONS.
4685.0935	EFFECTIVE DATE; EXISTING CONTRACTS.
4685.0940	MODEL COORDINATION OF BENEFITS CONTRACT PROVISION.
4685.0950	TEXT OF MODEL COORDINATION OF BENEFITS PROVISIONS FOR GROUP CONTRACTS.
4685.1000	[Repealed, 17 SR 2858]
ACCESSIBILITY OF SERVICES
4685.1010	AVAILABILITY AND ACCESSIBILITY.
4685.1100	[Repealed, 23 SR 1238]
QUALITY ASSURANCE
4685.1105	DEFINITIONS.
4685.1110	PROGRAM.
4685.1115	ACTIVITIES.
4685.1120	QUALITY EVALUATION STEPS.
4685.1125	FOCUSED STUDY STEPS.
4685.1130	FILED WRITTEN PLAN AND WORK PLAN.
4685.1200	STATISTICS.
4685.1300	EFFECTIVE DATE OF OPERATING REQUIREMENTS.
GOVERNING BODY; CONSUMER MEMBERS; ENROLLEE PARTICIPATION; COMPLAINT SYSTEM
4685.1400	SELECTION OF GOVERNING BODY.
4685.1500	ENROLLEE OPINION.
4685.1600	ENROLLEES WHO ARE CONTRACT HOLDERS.
4685.1700	[Repealed, L 1999 c 239 s 43]
4685.1800	[Repealed, 14 SR 903]
4685.1900	RECORDS OF COMPLAINTS.
ANNUAL REPORTS
4685.1910	UNIFORM REPORTING.
4685.1920	ANNUAL REPORT FORMS.
4685.1930	NAIC BLANK FOR HEALTH MAINTENANCE ORGANIZATIONS, GENERAL INFORMATION, DEFINITIONS, AND INSTRUCTIONS.
4685.1940	NAIC BLANK FOR HEALTH MAINTENANCE ORGANIZATIONS, REPORT #2: STATEMENT OF REVENUE AND EXPENSES.
4685.1950	NAIC BLANK FOR HEALTH MAINTENANCE ORGANIZATIONS, REPORT #4: ENROLLMENT AND UTILIZATION TABLE.
4685.1955	SUPPLEMENTAL BENEFITS.
4685.1960	AUDITED REPORT.
4685.1970	FINANCIAL DISCLOSURE.
4685.1980	QUARTERLY REPORTS.
4685.2000	[Repealed, L 2012 c 247 art 1 s 32]
4685.2100	ANNUAL REPORTS.
4685.2150	EXTENSION OF REPORTING DEADLINE.
4685.2200	TERMINATION OF COVERAGE.
4685.2250	USE OF FILED MATERIAL.
4685.2300	INSURANCE TERMINOLOGY.
4685.2400	[Repealed, 31 SR 35]
4685.2500	ENROLLMENT DISCRIMINATION.
4685.2600	CERTIFICATE OF NEED.
4685.2700	USE OF FUNDS.
4685.2800	FEES.
OPEN ENROLLMENT
4685.2900	EFFECTIVE DATE OF OPEN ENROLLMENT.
4685.3000	SCOPE.
4685.3100	NOTICE.
4685.3200	WAIVER.
4685.3300	PERIODIC FILINGS.
4685.3400	IMPROPER PRACTICES.
4685.3500	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.3600	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.3700	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.3800	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.3900	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4000	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4100	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4200	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4300	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4400	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4500	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4600	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4700	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4800	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.4900	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.5000	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.5100	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.5200	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.5300	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.5400	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.5500	[Repealed, L 1985 1Sp14 art 19 s 38]
4685.5600	[Repealed, L 1985 1Sp14 art 19 s 38]