62D.06 GOVERNING BODY.
Subdivision 1. Governing body composition; enrollee advisory body.
The governing body
of any health maintenance organization which is a nonprofit corporation may include enrollees,
providers, or other individuals; provided, however, that after a health maintenance organization
which is a nonprofit corporation has been authorized under sections
year, at least 40 percent of the governing body shall be composed of enrollees and members
elected by the enrollees and members from among the enrollees and members. For purposes of
this section, "member" means a consumer who receives health care services through a self-insured
contract that is administered by the health maintenance organization or its related third-party
administrator. The number of members elected to the governing body shall not exceed the number
of enrollees elected to the governing body. An enrollee or member elected to the governing
board may not be a person:
(1) whose occupation involves, or before retirement involved, the administration of health
activities or the provision of health services;
(2) who is or was employed by a health care facility as a licensed health professional; or
(3) who has or had a direct substantial financial or managerial interest in the rendering of a
health service, other than the payment of a reasonable expense reimbursement or compensation as
a member of the board of a health maintenance organization.
After a health maintenance organization which is a local governmental unit has been
authorized under sections
for one year, an enrollee advisory body shall be
established. The enrollees who make up this advisory body shall be elected by the enrollees
from among the enrollees.
Subd. 2. Enrollee input.
The governing body shall establish a mechanism to afford the
enrollees an opportunity to express their opinions in matters of policy and operation through the
establishment of advisory panels, by the use of advisory referenda on major policy decisions,
or through the use of other mechanisms as may be prescribed or permitted by the commissioner
History: 1973 c 670 s 6; 1974 c 284 s 10; 1977 c 305 s 45; 1983 c 205 s 6; 1987 c 384 art 2
s 1; 1988 c 592 s 1; 1997 c 205 s 6