41-3916 — ADVISORY PANELS
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TITLE 41
INSURANCE
CHAPTER 39
MANAGED CARE REFORM
41-3916. ADVISORY PANELS. Every managed care organization shall establish
a mechanism to provide members an opportunity to participate in matters of
policy and operation through the establishment of advisory panels, by the use
of advisory referenda on major policy decisions, or through the use of other
reasonable mechanisms. As a minimum, such an advisory panel shall be required
to review and comment upon any proposed changes to: (a) the managed care
plan's grievance procedures, and (b) nongroup member benefit packages and
prepayments, prior to implementation of such policy. The substance of such
comments shall be distributed to the affected members at the time notification
of such policy changes are made.