2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514B - HEALTH MAINTENANCE ORGANIZATIONS
514B.14 - COMPLAINT SYSTEM.

        514B.14  COMPLAINT SYSTEM.
         A health maintenance organization shall establish and maintain a
      complaint system which has been approved by the commissioner and
      which shall provide for the resolution of written complaints
      initiated by enrollees concerning health care services.  A health
      maintenance organization shall submit to the commissioner an annual
      report in a form prescribed by the commissioner which shall include:
         1.  A description of the procedures of the complaint system.
         2.  The total number of complaints handled through the complaint
      system and a compilation of causes underlying the complaints filed.
         3.  The number, amount and disposition of malpractice claims
      settled during the year by the health maintenance organization and
      any of its providers.
         The health maintenance organization shall maintain statistical
      information of written complaints filed with it concerning benefits
      over which the health maintenance organization does not have control
      and shall submit to the commissioner a summary report at the time and
      in the format that the commissioner may require.  Complaints
      involving other persons shall be referred to those persons and a copy
      of the complaint sent to the commissioner.  

         Section History: Early Form

         [C75, 77, 79, 81, § 514B.14] 

         Section History: Recent Form

         92 Acts, ch 1162, § 26
         Referred to in § 514B.3