2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514B - HEALTH MAINTENANCE ORGANIZATIONS
514B.6 - POWERS OF HEALTH MAINTENANCE ORGANIZATIONS.

        514B.6  POWERS OF HEALTH MAINTENANCE ORGANIZATIONS.
         The powers of a health maintenance organization include, but are
      not limited to, the following:
         1.  The purchase, lease, construction, renovation, operation or
      maintenance of hospitals, medical facilities, or both, and their
      ancillary equipment, and such property as may reasonably be required
      for transacting the business of the organization.
         2.  The making of loans to a medical group under contract with it
      or to a corporation under its control for the purpose of acquiring or
      constructing medical facilities and hospitals or in furtherance of a
      program providing health care services to enrollees.
         3.  The furnishing of health care services to the public through
      providers which are under contract with or employed by the health
      maintenance organization.
         4.  The contracting with any person for the performance on its
      behalf of certain functions such as marketing, enrollment and
      administration.
         5.  The contracting with an insurance company authorized to insure
      groups or individuals in this state for the cost of health care or
      with a corporation authorized under chapter 514 for the provision of
      insurance, indemnity, or reimbursement against the cost of health
      care services provided by the health maintenance organization.
         6.  The offering, in addition to basic health care services, of
      health care services and indemnity benefits to enrollees or groups of
      enrollees.
         7.  The acceptance from any person of payments covering all or
      part of the charges made to enrollees of the health maintenance
      organization.
         A health maintenance organization shall file notice with the
      commissioner before the exercise of any power granted in subsections
      1 and 2.  The commissioner shall disapprove the exercise of power if
      in the commissioner's opinion it would substantially and adversely
      affect the financial soundness of the health maintenance organization
      and endanger its ability to meet its obligations.  The commissioner
      may adopt rules exempting from the filing requirement of this section
      those activities having a minimum effect.  

         Section History: Early Form

         [C75, 77, 79, 81, § 514B.6] 

         Section History: Recent Form

         92 Acts, ch 1162, § 24
         Referred to in § 514B.15