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Minnesota Legislature

Office of the Revisor of Statutes

HEALTH MAINTENANCE ORGANIZATIONS

See also HEALTH AND ACCIDENT INSURANCE

Access to data

Chemical dependency services and outcomes, Minn. Statutes 2018 62Q.135

Contracts with government entities, data practices compliance, Minn. Statutes 2018 13.387

Medical records, individual identifying data, Minn. Statutes 2018 62D.145

Minnesota Risk Adjustment Association, Minn. Statutes 2018 62Q.03

Accounting and bookkeeping, billing procedures, health care taxes, separate statement, Minn. Statutes 2018 295.53

Accreditation, Minn. Statutes 2018 62K.09, 2018 62Q.37

Administrative staff, claims administrators, utilization review, Minn. Statutes 2018 62M.02, 2018 62M.04 to 2018 62M.07

Administrative supervision, insurance companies, Minn. Statutes 2018 60G.01 to 2018 60G.09

Admitted assets, see Assets under this topic

Advertising

Disclosures, exemptions, Minn. Statutes 2018 62D.09

False or misleading, Minn. Statutes 2018 62D.12

Limitations or restrictions, Minn. Statutes 2018 62D.05, 2018 62D.15

Medicare supplement insurance, Minn. Statutes 2018 62A.31

Violations, revocation or suspension of certificate of authority, Minn. Statutes 2018 62D.15

Affiliates

Cost containment goals, election, Minn. Statutes 2018 62J.041

Small employer health benefit plans, cessation of business, effect, Minn. Statutes 2018 62L.09

Agents, solicitors, and brokers, see INSURANCE AGENTS, SOLICITORS, AND BROKERS

Allied independent health providers, Minn. Statutes 2018 62Q.746

Alternative coverage, Minnesota Comprehensive Health Association, Minn. Statutes 2018 62D.181

Annual reports, see Reports given under this topic

Appeals

Denial, developmentally disabled children, boarding care costs, Minn. Statutes 2018 252.27

Membership cards, Minn. Statutes 2018 62D.09

Applicants, rejection or limitation, Minn. Statutes 2018 62E.15

Appraisals, expenses, payment, Minn. Statutes 2018 60A.03

Approved service areas, see Service areas under this topic

Arbitration

Essential community providers, cooperation, Minn. Statutes 2018 62Q.19

Health Department, duties, Minn. Statutes 2018 62Q.106, 2018 62Q.19

Investigations, Minn. Statutes 2018 62Q.106

Orders, Minn. Statutes 2018 62Q.106

Articles of incorporation, Minn. Statutes 2018 62D.03, 2018 62D.08

Assessments

Deductibles and copayments, determination, Minn. Statutes 2018 62D.095

Health Coverage Reinsurance Association, premiums, Minn. Statutes 2018 62L.21, 2018 62L.22

Assets

Admitted assets, Minn. Statutes 2018 60B.171, 2018 62D.044, 2018 62D.045

Hazardous financial condition, Minn. Statutes 2018 60G.20 to 2018 60G.22

Sale or disposition, premium revenue surcharges, liability, Minn. Statutes 2018 256.9657

Assignments, premium revenue surcharges, liability, Minn. Statutes 2018 256.9657

Audits and examinations

Data, classification, Minn. Statutes 2018 62D.08, 2018 62D.14

Desk audits, expenses, payments, Minn. Statutes 2018 60A.03

Expenses, Minn. Statutes 2018 60A.03, 2018 62D.14

Generally, Minn. Statutes 2018 62D.14

Independent audits, Minn. Statutes 2018 62Q.37

Loss ratio standards, compliance audits, Minn. Statutes 2018 62A.021

Noncompliance, Minn. Statutes 2018 60G.02, 2018 62D.14

Authorized expenses, see Expenditures under this topic

Bankruptcy, Medicare supplement policies, Minn. Statutes 2018 62A.31

Benefits

Benefit set, community integrated service networks, Minn. Statutes 2018 62N.25

Changes, notice, Minn. Statutes 2018 62D.07

Coordination, Minn. Statutes 2018 62A.046

Disability offsets prohibited, Minn. Statutes 2018 62D.12

Disclosure, Minn. Statutes 2018 62D.05

Family therapy, Minn. Statutes 2018 62D.102

Fees, change, Minn. Statutes 2018 62D.07

Lifetime benefits, Minn. Statutes 2018 62Q.49

Maternity benefits, Minn. Statutes 2018 62A.041, 2018 62A.0411

Minimum benefits, Minn. Statutes 2018 62D.30, 2018 80D.20

Reduction, Minn. Statutes 2018 62A.305, 2018 62D.101

Supplemental benefits, Minn. Statutes 2018 62D.041, 2018 62D.042, 2018 62D.05

Survivors' benefits, Minn. Statutes 2018 62A.145, 2018 62A.146

Withholding, newborns, premium payments, Minn. Statutes 2018 62A.042

Boards of directors

Approvals by, investment policy, Minn. Statutes 2018 62D.045

Conflicts of interest, policies, Minn. Statutes 2018 62D.03, 2018 62D.04

Investments, authorization, Minn. Statutes 2018 62D.045

Meetings, Minn. Statutes 2018 145.64

Members, Minn. Statutes 2018 62D.03, 2018 62D.08

Bylaws, amendment, Minn. Statutes 2018 62D.03, 2018 62D.08

Capital stock, deficiencies, Minn. Statutes 2018 60G.02

Certificates and certification

Coverage, federal regulations, compliance, Minn. Statutes 2018 62Q.181

Workers' compensation, managed care provider certification, eligibility and procedures, Minn. Statutes 2018 176.1351

Certificates of authority

Applications, Minn. Statutes 2018 62D.03, 2018 62D.08

Contested cases, revocation or suspension, Minn. Statutes 2018 62D.16

Denial, revocation or suspension

Administrative procedures, Minn. Statutes 2018 62D.16

Generally, Minn. Statutes 2018 62D.04, 2018 62D.15

Small employer health benefit plan violations, Minn. Statutes 2018 62L.11

Deposit amount, required, Minn. Statutes 2018 62D.041

Exemptions, Minn. Statutes 2018 256B.692, 2018 256B.77

Filing, fees, Minn. Statutes 2018 62D.21, 2018 62D.211

Generally, Minn. Statutes 2018 62D.05

Requirements, Minn. Statutes 2018 62D.03, 2018 62D.04

Cessation of business, Minn. Statutes 2018 62A.65

Chemical use assessments, health plan companies, Minn. Statutes 2018 62Q.1055

Children, see Coverage under this topic

Claims administrators, utilization review, Minn. Statutes 2018 62M.02, 2018 62M.04 to 2018 62M.07

Claims

Alternative coverage, Minnesota Comprehensive Health Association, Minn. Statutes 2018 62D.181

Malpractice claims, rehabilitation, classification, Minn. Statutes 2018 60B.191

Medical records, disclosure, Minn. Statutes 2018 62D.145

Processing, Minn. Statutes 2018 62D.05, 2018 62K.075

Rehabilitation, Minn. Statutes 2018 60B.191, 2018 60B.193

Service code changes, Minn. Statutes 2018 62Q.737

Standards, Minn. Statutes 2018 62Q.107

Subrogation, notice, Minn. Statutes 2018 62A.096

Unique patient identification numbers, use, Minn. Statutes 2018 62J.54

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

Complaint system

Enrollees, procedures, Minn. Statutes 2018 62D.09

Failure to comply, revocation or suspension of certificate of authority, Minn. Statutes 2018 62D.15

Generally, Minn. Statutes 2018 62D.11

Health care information clearinghouse, duties, Minn. Statutes 2018 62J.2930

Violations, Minn. Statutes 2018 144.691

Complaints

Appeals, Minn. Statutes 2018 62D.09, 2018 252.27

Contracts, Minn. Statutes 2018 62D.07

Denial, developmentally disabled children, boarding care costs, parental contribution, effect, Minn. Statutes 2018 252.27

Generally, Minn. Statutes 2018 62D.115

Investigations, Minn. Statutes 2018 62D.115, 2018 62Q.106

Ombudsman for prepaid health plans, duties, Minn. Statutes 2018 62D.09

Orders, Minn. Statutes 2018 62Q.106

Telephone numbers, membership cards, Minn. Statutes 2018 62D.09

Comprehensive health insurance plans, see under HEALTH AND ACCIDENT INSURANCE

Conflict of laws, portability of coverage, prevailing law, Minn. Statutes 2018 62Q.18

Conflicts of interest

Investments, Minn. Statutes 2018 62D.044

Loans, Minn. Statutes 2018 62D.045

Policies, Minn. Statutes 2018 62D.03, 2018 62D.08

Consolidations and mergers, Minn. Statutes 2018 60G.02, 2018 256.9657

Consulting, birth defects information system, Minn. Statutes 2018 144.2215

Consumer directors, Minn. Statutes 2018 145.61

Consumer information, Minn. Statutes 2018 62D.07, 2018 62D.09

Contested cases

Administrative supervision, Minn. Statutes 2018 60G.02, 2018 60G.05

Audits and examinations, Minn. Statutes 2018 62D.14

Birth records, group purchaser data, disclosure, Minn. Statutes 2018 144.225

Certificate of authority, revocation or suspension, Minn. Statutes 2018 62D.16

Contracts, forms or rates, Minn. Statutes 2018 62A.02

Fines and penalties, Minn. Statutes 2018 62D.08, 2018 62D.14, 2018 62D.17

Hazardous financial condition, Minn. Statutes 2018 60G.02, 2018 60G.22

Premium revenue surcharges, Minn. Statutes 2018 256.9657

Continuation and conversion privileges

Dependent children, Minn. Statutes 2018 62A.20, 2018 62A.21, 2018 62D.101, 2018 62D.105

Employees, premiums, Minn. Statutes 2018 62A.16

Evidence of coverage or contract, Minn. Statutes 2018 62D.07

Exclusionary riders, Minn. Statutes 2018 62A.65

Federal premium subsidies, 2009, Minn. Statutes 2018 62A.17

Fees, Minn. Statutes 2018 72A.20

Former spouses, Minn. Statutes 2018 62A.21, 2018 62D.101

Group coverage, generally, Minn. Statutes 2018 60A.082, 2018 60A.086

Group policyholder or contract holders, duties, Minn. Statutes 2018 62A.146, 2018 62A.17

Limitations, Minn. Statutes 2018 62D.181

Medicare recipients, Minn. Statutes 2018 62D.105

Nonrenewal, Minn. Statutes 2018 62A.17

Out-of-area conversion, Minn. Statutes 2018 62D.104

Portability of coverage, Minn. Statutes 2018 62A.65, 2018 62Q.18

Preexisting conditions, Minn. Statutes 2018 60A.082, 2018 62A.17, 2018 62A.65

Pregnancy, Minn. Statutes 2018 62A.65

Spouses, Minn. Statutes 2018 62A.20, 2018 62D.105

Survivors, Minn. Statutes 2018 62A.146

Terminated or laid off employees, Minn. Statutes 2018 62A.17

Underwriting, Minn. Statutes 2018 62A.65

Contract holders, notice received, health carriers, cessation of business, Minn. Statutes 2018 62A.65

Contracts and agreements

Age limits, Minn. Statutes 2018 62A.042

Approval, standards, Minn. Statutes 2018 62A.02

Armed forces reserve or National Guard, unfair trade practices, Minn. Statutes 2018 72A.20

Cancellation, Minn. Statutes 2018 62D.07, 2018 62D.08, 2018 72A.51

Chemical dependency treatment programs, Minn. Statutes 2018 62Q.135

Closed-panel health plans, Minn. Statutes 2018 62Q.43

Commissions (compensation), disclosure, Minn. Statutes 2018 62D.12

Comprehensive health insurance plans, see under HEALTH AND ACCIDENT INSURANCE

Contents, Minn. Statutes 2018 62D.07

Contested cases, forms or rates, Minn. Statutes 2018 62A.02

Definitions

Comprehensive Health Insurance Act, Minn. Statutes 2018 62E.02

Generally, Minn. Statutes 2018 62D.02

Health and accident insurance, Minn. Statutes 2018 62A.011

Health plan companies, Minn. Statutes 2018 62Q.01

Delivery, Minn. Statutes 2018 62D.07

Dental services, Minn. Statutes 2018 62D.02, 2018 62D.05, 2018 256B.037

Enrollee cost-sharing provisions, Minn. Statutes 2018 62D.095

Enrollee rights and information, statements, Minn. Statutes 2018 62D.07

Evidence, Minn. Statutes 2018 62D.07, 2018 62D.09

Filing requirements, Minn. Statutes 2018 62A.02

Forms, Minn. Statutes 2018 62A.02, 2018 62A.03

Generally, Minn. Statutes 2018 62D.05

Grace period, Minn. Statutes 2018 62D.07

Group contracts

Age limits, Minn. Statutes 2018 62A.042

Disabled children, coverage, Minn. Statutes 2018 62A.14

Discrimination prohibited, Minn. Statutes 2018 62D.095

Generally, Minn. Statutes 2018 62C.14

Maternity coverage, Minn. Statutes 2018 62A.041, 2018 62A.0411

Newborn infants, coverage, Minn. Statutes 2018 62A.042

Retroactive termination, Minn. Statutes 2018 60A.086

Health care network cooperatives, relicensure, effect, Minn. Statutes 2018 62R.07

Health provider cooperatives, generally, Minn. Statutes 2018 62R.06, 2018 62R.09

Injured state employees, workers' compensation coverage, Minn. Statutes 2018 176.572

Insurance companies, Minn. Statutes 2018 62D.05, 2018 62D.13

Interagency services for children with disabilities, Minn. Statutes 2018 125A.023

Issuance, Minn. Statutes 2018 62A.02, 2018 62A.285

Limits, determining, Minn. Statutes 2018 72A.20

Loss ratios, see same under this topic

Medicare recipients, Minn. Statutes 2018 62D.08, 2018 62D.09

Medicare supplement insurance, see under HEALTH AND ACCIDENT INSURANCE

Minnesota Comprehensive Health Association, Minn. Statutes 2018 62E.101, 2018 62E.12

Minnesota employees insurance program, Minn. Statutes 2018 43A.317

Nonprofit health service plan corporations, Minn. Statutes 2018 62D.05, 2018 62D.12

Patient Protection Act, assignment of obligations, Minn. Statutes 2018 62J.701

Prepaid contracts, dental services, Minn. Statutes 2018 62D.02, 2018 62D.05

Prohibited agreements, Patient Protection Act, Minn. Statutes 2018 62J.71

Prohibited contracts, Minn. Statutes 2018 62A.64, 2018 62J.71

Provider contracts

Amendment, rehabilitation, Minn. Statutes 2018 62D.18

Approval, Minn. Statutes 2018 62D.03

Assignment, Minn. Statutes 2018 60B.17, 2018 60B.25, 2018 62D.18

Cooperation, Minn. Statutes 2018 62D.123

Copies, Minn. Statutes 2018 62D.12

Data classification, Minn. Statutes 2018 62D.03

Disclosure, Minn. Statutes 2018 62D.03

Filing, Minn. Statutes 2018 62D.03

Generally, Minn. Statutes 2018 62D.05

Health Plan Contracting Act, Minn. Statutes 2018 62Q.732 to 2018 62Q.75

Late payment, Minn. Statutes 2018 62D.123

Prohibited agreements, Minn. Statutes 2018 62A.64

Requirements, Minn. Statutes 2018 62D.123

Termination, notice, Minn. Statutes 2018 62D.08

Transferees, liability, Minn. Statutes 2018 60B.17, 2018 60B.25

Readability requirements, Minn. Statutes 2018 72C.03, 2018 72C.11

Reinstatement provisions, Minn. Statutes 2018 62D.12

Renewal, Minn. Statutes 2018 62A.042, 2018 62A.285, 2018 62A.65, 2018 62D.101

Restrictive terms, Minn. Statutes 2018 62J.73

Risk classification, filing, Minn. Statutes 2018 62A.02

Risk sharing arrangement, statement, Minn. Statutes 2018 62D.10

State health care programs, Minn. Statutes 2018 62D.04, 2018 62D.05, 2018 62D.145

Termination, limitations, Minn. Statutes 2018 62D.101

Violations and penalties, Minn. Statutes 2018 62D.17

Wording, limitations, Minn. Statutes 2018 62D.12

Contributing members, health maintenance organizations defined as, Minn. Statutes 2018 62E.02

Coordination, local public accountability and collaboration plans, Minn. Statutes 2018 62Q.075

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

Corporate status, medical care provider surcharge liability, effect, Minn. Statutes 2018 256.9657

Correspondence, disclosure, restrictions, administrative supervision, Minn. Statutes 2018 60G.03

Cost containment, see under HEALTH CARE

Cost-sharing

Change of clinic or physicians, higher cost-sharing prohibited, Minn. Statutes 2018 62Q.43

Chemical dependency treatment, Minn. Statutes 2018 62Q.47

Closed-panel health plans, student enrollees, higher share for change option, Minn. Statutes 2018 62Q.43

Disclosure, Minn. Statutes 2018 62Q.49

Emergency medical services, Minn. Statutes 2018 62Q.55

Enrollees, contract provisions, Minn. Statutes 2018 62D.095

Mental health services, limitations and requirements, Minn. Statutes 2018 62Q.47

Rural demonstration project, Minn. Statutes 2018 62D.30

Coverage

Abortion, Minn. Statutes 2018 62D.20, 2018 145.414

Acupuncture services, Minn. Statutes 2018 62D.107

Age limits, Minn. Statutes 2018 62A.042

Alternative coverage, Minnesota Comprehensive Health Association, Minn. Statutes 2018 62D.181

Amendments, Minn. Statutes 2018 62D.09

Application, Minn. Statutes 2018 62D.09

Breast cancer, Minn. Statutes 2018 62A.25

Breast implants, Minn. Statutes 2018 62A.285

Cancellation, Minn. Statutes 2018 62D.07, 2018 62D.12

Cancer, diagnostic procedures, Minn. Statutes 2018 62A.30

Chemical dependency treatment, Minn. Statutes 2018 62Q.47

Children

Adopted children, Minn. Statutes 2018 62A.27

Age limits, Minn. Statutes 2018 62A.042

Child support requirements, Minn. Statutes 2018 62A.046, 2018 62A.048

Children taken into custody, intake information, Minn. Statutes 2018 260B.188, 2018 260C.188

Continuation and conversion, Minn. Statutes 2018 62D.101, 2018 62D.105

Dental procedures, hospitalization and general anesthesia, Minn. Statutes 2018 62A.308

Dependent children, Minn. Statutes 2018 62A.048, 2018 62A.308, 2018 62D.101, 2018 62D.105

Emotionally disturbed children, Minn. Statutes 2018 62A.151

Group contracts, Minn. Statutes 2018 62A.14

Health supervision services, Minn. Statutes 2018 62A.047

Individual family policies, Minn. Statutes 2018 62A.14

Physical or mental examinations, juvenile court orders, Minn. Statutes 2018 260B.331, 2018 260C.331

Clinical trial participants, Minn. Statutes 2018 62D.109

Continuation and conversion privileges, see same under this topic

Costs, verification, Minn. Statutes 2018 62D.101

Definitions, Minn. Statutes 2018 62D.02

Denial of access, professional opinion required, Minn. Statutes 2018 62Q.12

Denial or limitation of received services, Minn. Statutes 2018 62D.11, 2018 62D.12

Dental procedures, hospitalization and general anesthesia, Minn. Statutes 2018 62A.308

Dental services, Minn. Statutes 2018 62A.043

Dependents

Dental procedures, hospitalization and general anesthesia, Minn. Statutes 2018 62A.308

Disabled dependents, Minn. Statutes 2018 62A.14, 2018 62A.141, 2018 62A.308

Minor females, maternity, Minn. Statutes 2018 62C.14

Requirements, Minn. Statutes 2018 62A.302

Spouses, Minn. Statutes 2018 62D.105

Diabetes, equipment and supplies, Minn. Statutes 2018 62A.3093

Diethylstilbestrol, required coverage, Minn. Statutes 2018 62A.154

Disclosure, Minn. Statutes 2018 62D.09

Drugs and medicine, enrollee rights and information, statements, Minn. Statutes 2018 62D.07, 2018 62D.09

Eligibility, genetic tests, Minn. Statutes 2018 72A.139

Emergency services, Minn. Statutes 2018 62D.07

Evidence, Minn. Statutes 2018 62D.07, 2018 62D.09, 2018 62D.12, 2018 62D.15

Exclusions and limitations, Minn. Statutes 2018 62A.65, 2018 62D.09, 2018 62D.20, 2018 62D.22

Fibrocystic breast condition, Minn. Statutes 2018 62A.305

Former spouses, Minn. Statutes 2018 62D.101

General assistance recipients, payment on behalf of, Minn. Statutes 2018 62A.045

Grandchildren, Minn. Statutes 2018 62A.042

Guaranteed issue, health plan companies, Minn. Statutes 2018 62Q.18

Hearing aids, Minn. Statutes 2018 62Q.675

Home care services, limitations, Minn. Statutes 2018 62D.07, 2018 62D.09

Insolvency or liquidation of health maintenance organization, coordination of benefits, Minn. Statutes 2018 62D.181

Lyme disease, treatment, Minn. Statutes 2018 62A.265

Maternity, Minn. Statutes 2018 62A.041, 2018 62A.0411, 2018 62C.14

Medical assistance recipients, payment on behalf of, Minn. Statutes 2018 62A.045

Medical equipment and supplies, enrollee rights and information, Minn. Statutes 2018 62D.07, 2018 62D.09

Medical tests ordered by advanced practice nurses, Minn. Statutes 2018 62A.3091

Medicare recipients, Minn. Statutes 2018 62D.09

Mental health services, cost-sharing, Minn. Statutes 2018 62Q.47

Newborns, Minn. Statutes 2018 62A.042, 2018 62A.17, 2018 62D.07, 2018 62D.09

Nursing home services, limitations, Minn. Statutes 2018 62D.07, 2018 62D.09

Obligations, transfer to solvent organization, Minn. Statutes 2018 62D.18

Out-of-area primary care, Minn. Statutes 2018 62Q.45

Out-of-plan coverage, Minn. Statutes 2018 62D.05, 2018 62D.12, 2018 62L.12

Ovarian cancer surveillance tests, Minn. Statutes 2018 62A.30

Phenylketonuria, treatment, Minn. Statutes 2018 62A.26

Podiatrist services, Minn. Statutes 2018 62A.043

Point-of-service options, Minn. Statutes 2018 62Q.51

Port-wine stain elimination or treatment, Minn. Statutes 2018 62A.304

Portability, Minn. Statutes 2018 62A.65, 2018 62Q.18

Preexisting conditions, Minn. Statutes 2018 62A.65

Prenatal care, Minn. Statutes 2018 62A.047

Prescription drugs, Minn. Statutes 2018 62A.307, 2018 62A.31

Prescription eye drops, Minn. Statutes 2018 62A.3095

Pricing, discriminatory practices prohibited, Minn. Statutes 2018 62A.31

Prior authorization, Minn. Statutes 2018 62D.20

Prostate cancer screening, Minn. Statutes 2018 62Q.50

Reconstructive surgery, Minn. Statutes 2018 62A.25

Renewal, refusal, workers' compensation, Minn. Statutes 2018 62D.12

Replacement coverage, Minn. Statutes 2018 62D.121

Rulemaking, Minn. Statutes 2018 62D.20

Scalp hair prostheses, Minn. Statutes 2018 62A.28

Short-term coverage, Minn. Statutes 2018 62A.65

Small employer coverage, exceptions, Minn. Statutes 2018 62L.03

Spouses, Minn. Statutes 2018 62D.105

State employees, Minn. Statutes 2018 62D.22

Surgical first assistants, Minn. Statutes 2018 62A.3092

Termination, limitations, Minn. Statutes 2018 62D.12

Ventilator-dependent persons, Minn. Statutes 2018 62A.155

Voluntary purchasing pools, Minn. Statutes 2018 62Q.17

X-rays, Minn. Statutes 2018 62A.19, 2018 62A.3091

Damages, workers' compensation, employee treatment data, disclosure, Minn. Statutes 2018 176.138

Data collection

Health care data and research initiatives, Minn. Statutes 2018 62J.321

Health care spending data, see Data collection under HEALTH CARE

Standard identifiers, use, Minn. Statutes 2018 62J.321

Data

Access for review, Minn. Statutes 2018 62D.22

Access to, Minn. Statutes 2018 62Q.03, 2018 62Q.135, 2018 62Q.145

Admissible into evidence, Minn. Statutes 2018 62D.22

Audits and examinations, Minn. Statutes 2018 62D.08, 2018 62D.14

Classification, Minn. Statutes 2018 62D.03, 2018 62D.22, 2018 62D.23

Contracts with government entities, data practices compliance, Minn. Statutes 2018 13.387

Disclosure, Minn. Statutes 2018 62D.145

Enrollee or applicant data, classification, Minn. Statutes 2018 62D.14

Financial statements, classification, Minn. Statutes 2018 62D.08, 2018 62D.14

Provider information, Minn. Statutes 2018 62Q.746

Quality of care complaints, investigation, classification, Minn. Statutes 2018 62D.115

Workers' compensation, employee treatment data, disclosure, Minn. Statutes 2018 176.138

Deductibles, copayments, and coinsurance

Breast reconstructive surgery, Minn. Statutes 2018 62A.25

Children's health services, exemption, Minn. Statutes 2018 62A.047

Comprehensive health insurance plans, premiums, Minn. Statutes 2018 62E.08

Consumer cost-sharing, effect, disclosure, Minn. Statutes 2018 62Q.49

Cost-sharing, see same under this topic

Diabetes coverage, Minn. Statutes 2018 62A.3093

Generally, Minn. Statutes 2018 62D.095

Lyme disease treatment, restriction, Minn. Statutes 2018 62A.265

Negotiated provider payments, effect, disclosure, Minn. Statutes 2018 62Q.49

Patient Protection Act, disclosure, Minn. Statutes 2018 62J.72

Prenatal care, exemption, Minn. Statutes 2018 62A.047

Prostate cancer screening, Minn. Statutes 2018 62Q.50

Recourse against enrollees, Minn. Statutes 2018 62D.12

Rural demonstration project, waiver, Minn. Statutes 2018 62D.30

Scalp hair prostheses, Minn. Statutes 2018 62A.28

Definitions

Administrative Supervision Model Act, Minn. Statutes 2018 60G.01

Comprehensive Health Insurance Act, Minn. Statutes 2018 62E.02

Generally, Minn. Statutes 2018 62D.02

Health and accident insurance, Minn. Statutes 2018 62A.011, 2018 62A.63

Health care directives, Minn. Statutes 2018 145C.01

Health care information, review organizations, Minn. Statutes 2018 145.61

Health plan companies, Minn. Statutes 2018 62Q.01, 2018 62Q.19

Insurance Fair Information Reporting Act, Minn. Statutes 2018 72A.491

Insurance fraud, Minn. Statutes 2018 60A.951

Small Employer Health Benefit Act, Minn. Statutes 2018 62L.02

Demonstration projects, generally, Minn. Statutes 2018 62D.30

Demonstration providers

Contracts, dental services, Minn. Statutes 2018 256B.037

Demonstration project for uninsured low-income persons, Minn. Statutes 2018 256B.73

Dental services, Minn. Statutes 2018 256B.69

Health maintenance organizations defined as, Minn. Statutes 2018 256B.69

Medical assistance demonstration project for people with disabilities, Minn. Statutes 2018 256B.77

Dental services

Contracts, Minn. Statutes 2018 256B.037

Coverage, Minn. Statutes 2018 62A.043

Dental plans, Minn. Statutes 2018 62Q.76 to 2018 62Q.79

Limited-scope pediatric dental plans, Minn. Statutes 2018 62K.03, 2018 62K.14

Prepaid contracts, Minn. Statutes 2018 62D.02, 2018 62D.05

Purchase not required, Minn. Statutes 2018 62D.12

Rates, Minn. Statutes 2018 62D.12

Reports about, Minn. Statutes 2018 62D.08

Dependent coverage, see Coverage under this topic

Deposit requirements

Generally, Minn. Statutes 2018 62D.041

Supplemental deposits, Minn. Statutes 2018 62D.041, 2018 62D.05

Violations, rehabilitation, Minn. Statutes 2018 60B.15

Depositions, audits and examinations, Minn. Statutes 2018 62D.14

Disclosure

Affordable Care Act requirements, Minn. Statutes 2018 62K.07

Audits by independent organizations, Minn. Statutes 2018 62Q.37

Commissions (compensation), Minn. Statutes 2018 62D.12

Consumer cost-sharing, effect, Minn. Statutes 2018 62Q.49

Contracts, Minn. Statutes 2018 62D.03, 2018 62D.04

Correspondence, Minn. Statutes 2018 60G.03

Coverage, exclusions and limitations, Minn. Statutes 2018 62D.09

Enrollee data or information, Minn. Statutes 2018 62D.145

Exemptions, Minn. Statutes 2018 62D.09

Health Plan Contracting Act, Minn. Statutes 2018 62Q.735, 2018 62Q.737

Loss ratios, Minn. Statutes 2018 62A.021

Marketing, Minn. Statutes 2018 62D.05, 2018 62D.09, 2018 62Q.49

Negotiated provider payments, effect, Minn. Statutes 2018 62Q.49

Provider reimbursements, usual and customary fees, methodology for determination, Minn. Statutes 2018 62A.61

Rates, Minn. Statutes 2018 62A.024

Reimbursement methodologies, Patient Protection Act, Minn. Statutes 2018 62J.72

Small employer health benefit plans, underwriting, Minn. Statutes 2018 62L.06

Solicitation and sales materials, Minn. Statutes 2018 62A.65

Supplemental benefits, marketing, Minn. Statutes 2018 62D.05

Discovery, medical records, disclosure, Minn. Statutes 2018 62D.145

Discrimination, Minn. Statutes 2018 62D.095, 2018 62D.10, 2018 62D.12

Dividends, suspension or limitation, hazardous financial condition, Minn. Statutes 2018 60G.21

Electronic data transmission or access, Minn. Statutes 2018 72A.20

Employees, local government health maintenance organizations, salary limit exceptions, Minn. Statutes 2018 43A.17

Enforcement of law

Coverage, federal regulations, compliance, Minn. Statutes 2018 62Q.181

Disclosure, usual and customary provider fees, methodology for determination, Minn. Statutes 2018 62A.61

Health care cost containment, Minn. Statutes 2018 62J.041

Health Department, powers, Minn. Statutes 2018 256B.77

Medical assistance demonstration project for people with disabilities, Minn. Statutes 2018 256B.77

Voluntary purchasing pools, Minn. Statutes 2018 62Q.17

Enrollees

Bill of rights, Minn. Statutes 2018 62D.07, 2018 62D.09

Clinical trial participants, Minn. Statutes 2018 62D.109

Complaints, see same under this topic

Consent, data, disclosure, Minn. Statutes 2018 62D.145

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

Contracts and agreements, see same under this topic

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

Data, provider utilization, Minn. Statutes 2018 62Q.746

Definitions, Minn. Statutes 2018 62D.02, 2018 62J.70, 2018 62Q.01

Dental plans, Minn. Statutes 2018 62Q.76 to 2018 62Q.79

Fees, Minn. Statutes 2018 62D.07, 2018 62D.10

Fraud or misrepresentation, Minn. Statutes 2018 62D.12

Governing body members, Minn. Statutes 2018 62D.04, 2018 62D.06

Health data, disclosure, Minn. Statutes 2018 62D.145

Identity and identification, Minn. Statutes 2018 62D.145, 2018 72A.491, 2018 144.693

Information, Minn. Statutes 2018 62D.09

Large employer enrollees no longer in service area, Minn. Statutes 2018 62Q.185

Lawsuits, Minn. Statutes 2018 62D.07

Liability, Minn. Statutes 2018 60B.191, 2018 62J.041

Marketing, see same under this topic

Membership cards, Minn. Statutes 2018 62D.09

Minnesota Comprehensive Health Association alternative coverage, eligibility, Minn. Statutes 2018 62D.181

New enrollees, limitations, Minn. Statutes 2018 62D.15

Notice received, Minn. Statutes 2018 62D.11

Patient Protection Act, Minn. Statutes 2018 62J.695 to 2018 62J.76

Payments to, penalties, distribution, Minn. Statutes 2018 45.027, 2018 62D.17

Prepaid medical assistance program enrollees, assignment to HMO, Minn. Statutes 2018 256B.69

Requests by, electronic data transmission or access, Minn. Statutes 2018 72A.20

Rights, Minn. Statutes 2018 62D.07, 2018 62D.09, 2018 62J.2930

Enrollment

Open enrollment, Minn. Statutes 2018 62D.095, 2018 62D.10, 2018 62K.15

Reports about, health care cost containment, Minn. Statutes 2018 62J.041

Rural demonstration project, Minn. Statutes 2018 62D.30

Essential community providers, Minn. Statutes 2018 62Q.096, 2018 62Q.19, 2018 62Q.22

Essential facilities and services, Minn. Statutes 2018 62J.73

Establishment, Minn. Statutes 2018 62D.03

Evidence

Contracts, Minn. Statutes 2018 62D.09

Coverage, Minn. Statutes 2018 62D.07, 2018 62D.09, 2018 62D.12, 2018 62D.15

Deposit requirements, Minn. Statutes 2018 62D.041

Medical records, disclosure, Minn. Statutes 2018 62D.145

Exclusions, nonprofit health service plan corporations, Minn. Statutes 2018 62D.22

Exclusive relationships, prohibited, Patient Protection Act, Minn. Statutes 2018 62J.73

Exemptions, Minn. Statutes 2018 62D.01

Expenditures

Authorized expenses, Minn. Statutes 2018 62D.12

Cost containment, see under HEALTH CARE

Exclusions, supplemental benefits, Minn. Statutes 2018 62D.042

Filing, Minn. Statutes 2018 62D.03

Insolvency, uncovered expenditures, Minn. Statutes 2018 62D.041

Unreasonable expenses, enforcement, rules, Minn. Statutes 2018 62D.19

Family planning services, grants for, Minn. Statutes 2018 145.925

Fees

Certificates of authority, Minn. Statutes 2018 62D.21, 2018 62D.211

Conversion fees, Minn. Statutes 2018 72A.20

Filings, generally, Minn. Statutes 2018 62D.21

Open enrollment, eligibility, Minn. Statutes 2018 62D.10

Rulemaking, Minn. Statutes 2018 62D.211

Filing requirements, Minn. Statutes 2018 62Q.075

Financial statements

Application, included in, Minn. Statutes 2018 62D.03

Data classification, Minn. Statutes 2018 62D.08, 2018 62D.14

Generally, Minn. Statutes 2018 62D.08

Interim reports, Minn. Statutes 2018 60G.21

Refusal to comply, Minn. Statutes 2018 60G.02

Summaries, Minn. Statutes 2018 62D.09

Fines

Annual report, Minn. Statutes 2018 62D.08

Audits and examinations, failure to comply, Minn. Statutes 2018 62D.14

Certificate of authority, noncompliance, Minn. Statutes 2018 62D.04

Complaint system, violations, Minn. Statutes 2018 144.691

Contested cases, Minn. Statutes 2018 62D.08, 2018 62D.14, 2018 62D.17

Patient Protection Act, violations, Minn. Statutes 2018 62J.74

Premium revenue surcharges, tax penalties, Minn. Statutes 2018 256.9657

Provider termination, failure to notify, Minn. Statutes 2018 62D.08

Small employer health benefit plan violations, Minn. Statutes 2018 62L.11

Violations, generally, Minn. Statutes 2018 62D.17

Fraud, see Insurance fraud under FRAUD

Geographic accessibility, Minn. Statutes 2018 62D.121, 2018 62D.124

Good faith, Minn. Statutes 2018 62D.04

Governing bodies

Advisory panels, referendums, Minn. Statutes 2018 62D.06

Boards of directors, see same under this topic

Election, Minn. Statutes 2018 62D.06

Enrollee advisory body, Minn. Statutes 2018 62D.04, 2018 62D.06

Members, Minn. Statutes 2018 62D.04, 2018 62D.06

Grievance system

Complaint system, see same under this topic

Enrollees, rights, Minn. Statutes 2018 62D.07

Gross revenues, premiums, Minn. Statutes 2018 256.9657

Group purchasers, see under HEALTH CARE

Guaranteeing organizations, agreements, Minn. Statutes 2018 62D.08

Hazardous financial condition

Contested cases, Minn. Statutes 2018 60G.21, 2018 60G.22

Determination, authority, Minn. Statutes 2018 60G.20

Hearings, closed, Minn. Statutes 2018 60G.21

Standards, Minn. Statutes 2018 60G.20

Health and accident insurance companies, disabled dependents, notice of termination of coverage, Minn. Statutes 2018 62A.14

Health care data and research initiatives, cooperation, Minn. Statutes 2018 62J.301

Health care expenses, Minn. Statutes 2018 62A.31

Health care information, review organizations, see under HEALTH CARE

Health care power of attorney, see under HEALTH CARE

Health care providers, health maintenance organizations defined as, Minn. Statutes 2018 145C.01

Health care risk adjustment system, Minn. Statutes 2018 60A.235, 2018 62Q.03

Health care taxes, Minn. Statutes 2018 295.51, 2018 295.53, 2018 295.56, 2018 295.582

Health carriers, health maintenance organizations defined as, Minn. Statutes 2018 62A.011, 2018 62L.02

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

Health Department, powers, Minn. Statutes 2018 256B.77

Health Maintenance Act, Minn. Statutes 2018 62D.01 to 2018 62D.24

Health plan companies

Coverage, Minn. Statutes 2018 62Q.02

Generally, see Health plan companies under HEALTH AND ACCIDENT INSURANCE

Health maintenance organizations defined as

Health care cost containment, Minn. Statutes 2018 62J.041

Health plan companies, Minn. Statutes 2018 62Q.01

Health Plan Contracting Act, Minn. Statutes 2018 62Q.733

Independent audits, Minn. Statutes 2018 62Q.37

Health plans

Market rules, Minn. Statutes 2018 62K.01 to 2018 62K.15

Service area requirements, Minn. Statutes 2018 62K.13

Health provider cooperatives, see Provider cooperatives under HEALTH CARE COOPERATIVES

Hearings

Disclosure, administrative supervision, Minn. Statutes 2018 60G.03

Hazardous financial condition, Minn. Statutes 2018 60G.21

Hennepin County Medical Center, purchasing and contracting, Minn. Statutes 2018 383B.217

Immunity, reports given

Chiropractors, disciplinary action, Minn. Statutes 2018 148.103

Marriage and family therapists, disciplinary action, Minn. Statutes 2018 148B.08

Mental health workers, disciplinary action, Minn. Statutes 2018 148B.08

Osteopathic physicians, disciplinary action, Minn. Statutes 2018 147.121

Physicians and surgeons, disciplinary action, Minn. Statutes 2018 147.121

Practical nurses, disciplinary action, Minn. Statutes 2018 148.264

Registered nurses, disciplinary action, Minn. Statutes 2018 148.264

Social workers, disciplinary action, Minn. Statutes 2018 148B.08

Income and franchise taxes, exemption, Minn. Statutes 2018 290.0921

Information about, health care information clearinghouse, duties, Minn. Statutes 2018 62J.2930

Insolvency insurance, benefits, coordination, Minn. Statutes 2018 62D.181

Insolvency

Defined, Minn. Statutes 2018 62A.3099

Enrollees, Minnesota Comprehensive Health Association alternative coverage, eligibility, Minn. Statutes 2018 62D.181

Protection, Minn. Statutes 2018 62D.041, 2018 62D.05

Risk-based capital requirements, Minn. Statutes 2018 60A.50 to 2018 60A.592

Insurance agents, solicitors, and brokers, licenses, Minn. Statutes 2018 62D.22

Insurance taxes, see INSURANCE TAXES

Insurers Rehabilitation and Liquidation Act, Minn. Statutes 2018 60B.02

Insurers

Exclusion, Comprehensive Health Insurance Act, Minn. Statutes 2018 62E.02

Health maintenance organizations defined as

Administrative Supervision Model Act, Minn. Statutes 2018 60G.01

Health and accident insurance, Minn. Statutes 2018 62A.63

Insurance Fair Information Reporting Act, Minn. Statutes 2018 72A.491

Insurance fraud, Minn. Statutes 2018 60A.951

Insurers Rehabilitation and Liquidation Act, Minn. Statutes 2018 60B.15, 2018 60B.20

Interrogatories, audits and examinations, Minn. Statutes 2018 62D.14

Investigations, complaints, Minn. Statutes 2018 62Q.106

Investments by

Generally, Minn. Statutes 2018 62D.045

Income, reporting, Minn. Statutes 2018 62D.08

Investments in, life insurance companies, Minn. Statutes 2018 61A.284

Issuers, health maintenance organizations defined as, Minn. Statutes 2018 62A.3099

Judicial review

Certificate of authority, revocation or suspension, Minn. Statutes 2018 62D.16

Fines and penalties, Minn. Statutes 2018 62D.08, 2018 62D.14, 2018 62D.17

Lawsuits

Denial, developmentally disabled children, boarding care costs, parental contribution, effect, Minn. Statutes 2018 252.27

Enrollees, right of action, Minn. Statutes 2018 62D.07

Medical records, disclosure, Minn. Statutes 2018 62D.145

Provider payment, collections, Minn. Statutes 2018 256.9657

Leases, premium revenue surcharges, liability, Minn. Statutes 2018 256.9657

Liabilities

Computation, rules, Minn. Statutes 2018 62D.182

Excessive liabilities, liquidation, Minn. Statutes 2018 60B.20

Health Coverage Reinsurance Association, premiums, Minn. Statutes 2018 62L.21

Rehabilitation, Minn. Statutes 2018 60B.191, 2018 60B.193

Requirement, Minn. Statutes 2018 62D.182

Small employer health benefit plans, duties, see Health carriers under SMALL EMPLOYER HEALTH BENEFIT PLANS

Transfer of risk, claims, Minn. Statutes 2018 62L.20

Unearned premium revenues, Minn. Statutes 2018 256.9657

Liability

Patient data, disclosure, immunity, Minn. Statutes 2018 62J.321

Premium revenue surcharges, Minn. Statutes 2018 256.9657

Licenses

Conversion, mergers or consolidations, effect, Minn. Statutes 2018 256.9657

Denial, revocation, or suspension, Minn. Statutes 2018 60G.02

Health care network cooperatives licensed as, Minn. Statutes 2018 62R.03, 2018 62R.07

Health care risk adjustment system, participation, Minn. Statutes 2018 62Q.03

Utilization review, compliance, Minn. Statutes 2018 62M.03

Liens, assets, rehabilitation, sale, use, or transfer, Minn. Statutes 2018 60B.171

Liquidation, see Rehabilitation or liquidation under this topic

Loans, Minn. Statutes 2018 62D.045

Local governments, organizations owned by, employee salary limit exceptions, Minn. Statutes 2018 43A.17

Local public accountability and collaboration plans, Minn. Statutes 2018 62Q.075

Loss experience of insured, requests for, limitations, Minn. Statutes 2018 72A.20

Loss ratios

Compliance, Minn. Statutes 2018 62A.65

Generally, Minn. Statutes 2018 62A.021

Rural demonstration project, Minn. Statutes 2018 62D.30

Statements, Minn. Statutes 2018 62A.02

Managed care organizations

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

Health maintenance organizations defined as, Minn. Statutes 2018 62Q.01

Marketing

Disclosures, Minn. Statutes 2018 62D.05, 2018 62D.09, 2018 62Q.49

Loss ratios, disclosure requirements, Minn. Statutes 2018 62A.021

Materials, contents, Minn. Statutes 2018 62D.09

Rulemaking, Minn. Statutes 2018 62D.05

Standards under Affordable Care Act, Minn. Statutes 2018 62K.08

Violations, revocation or suspension, certificate of authority, Minn. Statutes 2018 62D.15

Medical assistance, participation, Minn. Statutes 2018 256B.0644

Medical care surcharge, Minn. Statutes 2018 256.9657

Medical coverage, see Coverage under this topic

Medical malpractice insurance, claims, Minn. Statutes 2018 60B.191, 2018 144.693

Medical records

Disclosure, Minn. Statutes 2018 62D.145

Malpractice claim reports, data classification, Minn. Statutes 2018 144.693

Personal information, exclusion, Insurance Fair Information Reporting Act, Minn. Statutes 2018 72A.491

Medicare Part D prescription drug plans, Minn. Statutes 2018 62A.4514

Medicare recipients

Coverage, information required, Minn. Statutes 2018 62D.09

Demonstration projects, Minn. Statutes 2018 62D.30

Geographic accessibility, cancellation, Minn. Statutes 2018 62D.121

Total premium revenues, surcharges, Minn. Statutes 2018 256.9657

Medicare supplement insurance, see under HEALTH AND ACCIDENT INSURANCE

Members, definitions, Minn. Statutes 2018 62D.06

Membership cards, Minn. Statutes 2018 62D.09

Memberships

Minnesota Comprehensive Health Association, Minn. Statutes 2018 62E.10

Minnesota Life and Health Insurance Guaranty Association, exclusion, Minn. Statutes 2018 61B.20

Mental health services, coordination of care pilot projects, Minn. Statutes 2018 245.4682

Mergers and consolidations

Administrative supervision, Minn. Statutes 2018 60G.02

New corporations, premium revenue surcharges, liability, Minn. Statutes 2018 256.9657

Minnesota Comprehensive Health Association, information, Minn. Statutes 2018 62E.15

Monitoring, Minn. Statutes 2018 62J.041

Names, limitations, Minn. Statutes 2018 62D.04, 2018 62D.12

Net worth

Deficiencies, administrative supervision, Minn. Statutes 2018 60G.02

Defined, Minn. Statutes 2018 62D.02

Increase, hazardous financial condition, Minn. Statutes 2018 60G.21

Monitoring, Minn. Statutes 2018 62J.041

Requirements, generally, Minn. Statutes 2018 62D.042

Supplemental benefits, Minn. Statutes 2018 62D.05

Violations, Minn. Statutes 2018 60B.15, 2018 60B.20

Oaths, audits and examinations, Minn. Statutes 2018 62D.14

Open enrollment, Minn. Statutes 2018 62D.095, 2018 62D.10

Orders

Cease and desist orders, Minn. Statutes 2018 62D.17

Children, physical or mental examinations, coverage, Minn. Statutes 2018 260B.331, 2018 260C.331

Complaints, resolution, Minn. Statutes 2018 62Q.106

Hazardous financial condition, Minn. Statutes 2018 60G.21

Liquidation or rehabilitation, Minn. Statutes 2018 62D.18

Medical records, disclosure, Minn. Statutes 2018 62D.145

Noncompliance, Minn. Statutes 2018 60G.02

Violations, Minn. Statutes 2018 60G.02

Participating entities, Minn. Statutes 2018 62D.02

Payments by

Ambulance services, reimbursements, Minn. Statutes 2018 62J.48

Audits and examinations, expenses, Minn. Statutes 2018 60A.03

Governmental institutions, payments to, Minn. Statutes 2018 62A.044, 2018 62A.081

Premium revenue surcharges, Minn. Statutes 2018 256.9657

Providers, Minn. Statutes 2018 62A.25, 2018 62Q.51, 2018 62Q.736

Special transportation services, reimbursements, Minn. Statutes 2018 62J.48

Visitations, expenses, Minn. Statutes 2018 60A.03

Performance standards, Minn. Statutes 2018 62Q.37

Personal health care services, funding, recommendations, Minn. Statutes 2018 62Q.33

Planning, local public accountability and collaboration plans, Minn. Statutes 2018 62Q.075

Point-of-service options, Minn. Statutes 2018 62Q.51

Policy of state, abortion, coverage, Minn. Statutes 2018 145.414

Portability, see Coverage under this topic

Preexisting conditions, deductibles and copayments, Minn. Statutes 2018 62D.095

Preferred networks, Minnesota Comprehensive Health Association, Minn. Statutes 2018 62E.101

Premiums

Alternative coverage, Minn. Statutes 2018 62D.181

Change, rehabilitation, Minn. Statutes 2018 62D.18

Closed panel health plans, student enrollees, Minn. Statutes 2018 62Q.43

Combined policies, Minn. Statutes 2018 62D.181

Comprehensive health insurance plan, premiums, Minn. Statutes 2018 62E.08

Continuation and conversion, employees, Minn. Statutes 2018 62A.16, 2018 62A.17

Eligibility fees, crediting to premium, Minn. Statutes 2018 62D.10

Grace period, Minn. Statutes 2018 62D.07

Group policies, former spouses or dependent children, Minn. Statutes 2018 62D.101

Insolvency insurance and Minnesota Comprehensive Health Association premiums, Minn. Statutes 2018 62D.181

Newborns, coverage, Minn. Statutes 2018 62A.042, 2018 62D.07

Premiums paid by state, insurance taxes, exemptions, Minn. Statutes 2018 297I.15

Rates

Dental services, Minn. Statutes 2018 62D.12

Disclosure, Minn. Statutes 2018 62A.65

Discrimination, limitations, Minn. Statutes 2018 62D.12

Former spouses, Minn. Statutes 2018 62D.101

Gender-based decisions, Minn. Statutes 2018 62A.306

Health care cost containment, Minn. Statutes 2018 62J.041

Increases, disclosure, Minn. Statutes 2018 62A.024

Point-of-service options, Minn. Statutes 2018 62Q.51

Port-wine stain elimination or treatment coverage, Minn. Statutes 2018 62A.304

Rate cells, filing, Minn. Statutes 2018 62A.65

Regional index rates, requesting, Minn. Statutes 2018 62A.65

Reasonable, adequate, and nonpredatory premiums, Minn. Statutes 2018 72A.20

Refunds, cancellation of contract, Minn. Statutes 2018 62D.07

Reinstatement of contract, acceptance, Minn. Statutes 2018 62D.12

Replacement coverage, limitations, Minn. Statutes 2018 62D.121

Revenues, Minn. Statutes 2018 256.9657

Survivors, Minn. Statutes 2018 62A.146

Prepaid health plans, see PREPAID HEALTH PLANS

Prescription drugs

Demonstration projects, out of hospital prescription drug benefit, Minn. Statutes 2018 62D.30

Enrollee rights, statement, Minn. Statutes 2018 62D.07, 2018 62D.09

Preventive health care services, copayments or deductibles, Minn. Statutes 2018 62D.095

Principal officers, Minn. Statutes 2018 62D.03, 2018 62D.04

Prior authorization

Denial or limitation of received services practices, Minn. Statutes 2018 62D.12

Rulemaking, Minn. Statutes 2018 62D.20

Privileges and immunity, medical records, disclosure, Minn. Statutes 2018 62D.145

Producers, Minn. Statutes 2018 62D.22

Prohibited health plans, disclosures, noncompliance, Minn. Statutes 2018 62Q.49

Proposals, government program recipients, service to, Minn. Statutes 2018 62D.04

Providers

Billing, Minn. Statutes 2018 62K.11

Claims

Rehabilitation, Minn. Statutes 2018 60B.191, 2018 60B.193

Service code changes, Minn. Statutes 2018 62Q.737

Contracts, see same under this topic

Cooperation, Minn. Statutes 2018 62D.123

Copayments, recourse against enrollees prohibited, Minn. Statutes 2018 62D.12

Defined, Minn. Statutes 2018 62D.02

Disclosure, Minn. Statutes 2018 62Q.49

Information given to enrollees, Minn. Statutes 2018 62D.09

Network adequacy, Minn. Statutes 2018 62K.10

Network notifications, Minn. Statutes 2018 62K.075

Payments to, Minn. Statutes 2018 62A.25, 2018 62Q.51, 2018 62Q.736

Reports about, Minn. Statutes 2018 62Q.746

Retaliatory action against, Minn. Statutes 2018 62D.12

Termination, notice, Minn. Statutes 2018 62D.08, 2018 62D.123

Qualifying coverage, health maintenance organizations defined as, Minn. Statutes 2018 62L.02

Quality assurance and improvement, Minn. Statutes 2018 62K.12

Rate changes, notice, Minn. Statutes 2018 62A.023

RBC requirements, Minn. Statutes 2018 60A.50 to 2018 60A.592

Receivers and receiverships, administrative supervision, Minn. Statutes 2018 60G.03

Records and record keeping

Boards of directors, Minn. Statutes 2018 145.64

Disclosure, restrictions, administrative supervision, Minn. Statutes 2018 60G.03

Electronic data transmission or access, Minn. Statutes 2018 72A.20

Medical records, Minn. Statutes 2018 62D.145, 2018 72A.491, 2018 144.693

Regulation of trade practices, Minn. Statutes 2018 62D.12

Rehabilitation or liquidation

Assets, sale, use, or transfer, Minn. Statutes 2018 60B.171

Claims, Minn. Statutes 2018 60B.191, 2018 60B.193

Coverage obligations, transfer, Minn. Statutes 2018 60B.17

Enrollees, Minnesota Comprehensive Health Association, alternative coverage, Minn. Statutes 2018 62D.181

Generally, Minn. Statutes 2018 62D.18

Grounds, Minn. Statutes 2018 60B.15, 2018 60B.20

Insolvency insurance, coordination of benefits, Minn. Statutes 2018 62D.181

Liquidator, powers, Minn. Statutes 2018 60B.25

Notice, Minn. Statutes 2018 60B.181

Plans, Minn. Statutes 2018 60B.17

Proceedings, election by Health Department, Minn. Statutes 2018 60G.06

Provider contracts, assignment, Minn. Statutes 2018 60B.25

Rehabilitators

Duties, Minn. Statutes 2018 60B.17, 2018 60B.171, 2018 60B.181, 2018 60B.191

Powers, Minn. Statutes 2018 60B.17, 2018 62D.18

Reinsurance

Administrative supervision, Minn. Statutes 2018 60G.02

Net worth and working capital, reduction for premiums, Minn. Statutes 2018 62D.042

Reports about, disclosure, restrictions, administrative supervision, Minn. Statutes 2018 60G.03

Reports given

Administrative expenses, Minn. Statutes 2018 62D.08

Annual reports, Minn. Statutes 2018 62D.08, 2018 62D.124, 2018 62D.21

Assets, market value, Minn. Statutes 2018 60G.21

Classification, Minn. Statutes 2018 148B.08

Data classification, Minn. Statutes 2018 62D.23

Demonstration projects, Minn. Statutes 2018 62D.30

Disciplinary action

Chiropractors, Minn. Statutes 2018 148.103

Marriage and family therapists, Minn. Statutes 2018 148B.07

Mental health workers, Minn. Statutes 2018 148B.07

Osteopathic physicians, Minn. Statutes 2018 147.111

Physicians and surgeons, Minn. Statutes 2018 147.111

Practical nurses, Minn. Statutes 2018 148.263

Registered nurses, Minn. Statutes 2018 148.263

Social workers, Minn. Statutes 2018 148B.07

Disclosure, restrictions, administrative supervision, Minn. Statutes 2018 60G.03

Expenditures, Minn. Statutes 2018 62J.041

Financial statements, see same under this topic

Guidelines, Minn. Statutes 2018 62D.08

Health care taxes, qualifying exemptions, Minn. Statutes 2018 295.53

Investments, Minn. Statutes 2018 62D.08

Local public accountability and collaboration plans, Minn. Statutes 2018 62Q.075

Medical malpractice claims, Minn. Statutes 2018 144.693

Merger of reporting requirements, Minn. Statutes 2018 62D.124

Provider information, Minn. Statutes 2018 62Q.746

Resignations, Minn. Statutes 2018 147.111, 2018 148.263, 2018 148B.07

Rulemaking, Minn. Statutes 2018 144.691

Small employer health benefit plans, Minn. Statutes 2018 62L.10

Requests for proposals, state health care programs, good faith participation by HMOs, Minn. Statutes 2018 62D.04

Reserves

Generally, Minn. Statutes 2018 62J.041

Rulemaking, Minn. Statutes 2018 62D.05

Retaliation by, health care providers, Minn. Statutes 2018 62J.71

Revenues

Gross revenues, premiums, Minn. Statutes 2018 256.9657

Reports about, Minn. Statutes 2018 62J.041

Reviews, data, access, Minn. Statutes 2018 62D.22

Risk pools, Minn. Statutes 2018 62A.65

Risk sharing arrangements

Contracts, statement, Minn. Statutes 2018 62D.10

Generally, Minn. Statutes 2018 62D.04

Limitations, Minn. Statutes 2018 62D.12

Rulemaking, Minn. Statutes 2018 62D.10

Risk-based capital requirements, Minn. Statutes 2018 60A.50 to 2018 60A.592

Rural demonstration project, Minn. Statutes 2018 62D.30

Scope of practice, abortion, compliance, Minn. Statutes 2018 62Q.145

Second opinions

Chemical dependency, Minn. Statutes 2018 62D.103

Denial or limitation of received services practices, Minn. Statutes 2018 62D.12

Mental health, Minn. Statutes 2018 62D.103

Service areas

Geographic accessibility, Minn. Statutes 2018 62D.124

Large employers, nonrenewal of coverage, Minn. Statutes 2018 62Q.185

Local public accountability and collaboration plan, Minn. Statutes 2018 62Q.075

Small employer health benefit plans, Minn. Statutes 2018 62L.03, 2018 62L.09

Service delivery organizations, health maintenance organizations defined as, Minn. Statutes 2018 256B.77

Services, accessibility and availability, Minn. Statutes 2018 62D.124, 2018 62Q.075

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

Spouses

Continuation and conversion privileges, see same under this topic

Coverage, see same under this topic

Staff model health plan companies, health care taxes, Minn. Statutes 2018 295.50

Statistics, compilation, procedures, Minn. Statutes 2018 62D.04, 2018 62D.08

Stay of proceedings, administrative supervision, Minn. Statutes 2018 60G.05

Stock, capital stock, deficiencies, administrative supervision, Minn. Statutes 2018 60G.02

Subpoenas, audits and examinations, Minn. Statutes 2018 62D.14

Subrogation

Corrections Department, prisoners' insurance benefits, Minn. Statutes 2018 243.255

Counties, Minn. Statutes 2018 243.255, 2018 260B.188, 2018 260C.188

Notice requirements, Minn. Statutes 2018 62A.096

Regulation, Minn. Statutes 2018 62A.095

Statutes of limitations, Minn. Statutes 2018 62A.096

Subscribers, see Enrollees under this topic

Supplemental benefit plans, small employer health benefit plans, Minn. Statutes 2018 62L.12

Surplus

Administrative supervision, Minn. Statutes 2018 60G.02

Increase, hazardous financial condition, Minn. Statutes 2018 60G.21

Supplemental benefits, offering, Minn. Statutes 2018 62D.05

Telephone information systems

Complaints, Minn. Statutes 2018 62D.07

Providing, Minn. Statutes 2018 62D.12

Question response, Minn. Statutes 2018 62D.12

Telephone numbers, membership cards, Minn. Statutes 2018 62D.09

Termination, disabled dependents, notice, Minn. Statutes 2018 62A.14

Trade secret information, reserve calculations, Minn. Statutes 2018 62J.041

Underwriting

Gender-based decisions, Minn. Statutes 2018 62A.306, 2018 62A.65

Human services recipients, prohibited practices, Minn. Statutes 2018 62A.045

Preexisting conditions, Minn. Statutes 2018 62A.65

Violations, Minn. Statutes 2018 62A.285

Unfair or deceptive trade practices, generally, Minn. Statutes 2018 62A.021, 2018 62D.12, 2018 72A.20

Utilization Review Act, Minn. Statutes 2018 62M.01

Utilization review, see HEALTH CARE UTILIZATION REVIEW

Violations and penalties

Benefits, Minn. Statutes 2018 80D.20

Civil penalties, division and distribution to enrollees, Minn. Statutes 2018 45.027

Commercial companion policies, exclusion, Minn. Statutes 2018 62D.12

Complaint procedures, Minn. Statutes 2018 144.691

Conversion, fees, Minn. Statutes 2018 72A.20

Deposit requirements, rehabilitation, Minn. Statutes 2018 60B.15

Employer violations, Minn. Statutes 2018 62A.303

Enrollees, fraud or misrepresentation, cancellation of coverage, Minn. Statutes 2018 62D.12

Forms, unlawful use, Minn. Statutes 2018 62A.02

Generally, Minn. Statutes 2018 60G.02, 2018 60G.04, 2018 62D.17

Health plan market rules, Minn. Statutes 2018 62K.04

Mental health benefits, Minn. Statutes 2018 80D.20

Net worth and working capital, Minn. Statutes 2018 60B.15, 2018 60B.20

Nonprofit Corporation Act, standards, rehabilitation, Minn. Statutes 2018 60B.15

Patient protection acts, injunctions, Minn. Statutes 2018 62J.74

Premium revenues surcharges, tax penalties, Minn. Statutes 2018 256.9657

Rural demonstration project, employers, early withdrawal, Minn. Statutes 2018 62D.30

Small employer health benefit plan violations, Minn. Statutes 2018 62L.11

Underwriting violations, breast implants, Minn. Statutes 2018 62A.285

Visitations, expenses, payment, Minn. Statutes 2018 60A.03

Waivers

Demonstration projects, Minn. Statutes 2018 62D.30

Open enrollment, Minn. Statutes 2018 62D.10

Provider network adequacy, Minn. Statutes 2018 62K.10

Quality assurance and improvement program, Minn. Statutes 2018 62K.12

Who may operate as, Minn. Statutes 2018 62D.05

Witnesses, audits and examinations, Minn. Statutes 2018 62D.14

Workers' compensation, employee treatment, computer data, disclosure to, Minn. Statutes 2018 176.138

Writing carriers

Comprehensive health insurance plans, see under HEALTH AND ACCIDENT INSURANCE

Health maintenance organizations defined as, Minn. Statutes 2018 62E.10