2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514B - HEALTH MAINTENANCE ORGANIZATIONS
514B.13 - OPEN ENROLLMENT.

        514B.13  OPEN ENROLLMENT.
         After a health maintenance organization has been in operation
      twenty-four months, it shall have an annual open enrollment period of
      at least one month during which it accepts enrollees up to the limits
      of its capacity, as determined by the health maintenance
      organization, in the order in which they apply for enrollment.  A
      health maintenance organization may apply to the commissioner for
      authorization to impose such underwriting restrictions upon
      enrollment as are necessary to preserve its financial stability, to
      prevent excessive adverse selection by prospective enrollees, or to
      avoid unreasonably high or unmarketable charges for enrollee coverage
      for health care services.  The commissioner shall approve or deny the
      application made pursuant to this section within a reasonable period
      of time from the receipt of the application.
         Health maintenance organizations providing services exclusively on
      a group contract basis may limit the open enrollment provided for in
      this section to all members of the group covered by the contract,
      including those members of the group who previously waived coverage.
      

         Section History: Early Form

         [C75, 77, 79, 81, § 514B.13] 

         Section History: Recent Form

         2005 Acts, ch 70, §13