2006 Minnesota Statutes

62N.33 COVERAGE FOR ENROLLEES OF INSOLVENT NETWORKS.
In the event of a community network insolvency, the commissioner shall determine
whether one or more community networks or health plan companies are willing and able to
provide replacement coverage to all of the failed community network's enrollees, and if so, the
commissioner shall facilitate the provision of the replacement coverage. If such replacement
coverage is not available, the commissioner shall randomly assign enrollees of the insolvent
community network to other community networks and health plan companies in the service area,
in proportion to their market share, for the remaining terms of the enrollees' contracts with the
insolvent network. The other community networks and health plan companies must accept the
allocated enrollees under their policy or contract most similar to the enrollees' contracts with the
insolvent community network. The allocation must keep groups together. Enrollees with special
continuity of care needs may, in the commissioner's discretion, be given a choice of replacement
coverage rather than random assignment. Individuals and groups that are assigned randomly may
choose a different community network or health plan company when their contracts expire, on the
same basis as any other individual or group. The replacement health plan company must comply
with any guaranteed renewal or other renewal provisions of the prior coverage, including but not
limited to, provisions regarding preexisting conditions and health conditions that developed
during prior coverage.
History: 1994 c 625 art 1 s 13