11 NCAC 20 .0602. WRITTEN NOTICE

In addition to those modifications set out in G.S. 58-67-10(d)(1), an HMO shall submit written notice to the Division of the following:

(1)           Changes to the members of the HMO's Board of Directors, Trustees, Officers, or any entity maintaining at least 10 percent ownership in the HMO, within 15 days after the change.

(2)           Reductions in the number of providers that exceed 10 percent of the total number of providers in a particular service area within 15 days after the change.

(3)           Any application made in any other state for licensure as an HMO, insurance company or any other type of managed care organization, within 15 days after making the application.

(4)           Any application made in North Carolina or any other state to engage in business arrangements involving Medicare, Medicaid, CHAMPUS or Workers Compensation, within 15 days after making the application.

 

History Note:        Authority G.S. 58-2-40; 58-67-10; 58-67-150;

Eff. October 1, 1996.