2024 Iowa Code
Title XIII - COMMERCE
Chapter 514B - HEALTH MAINTENANCE ORGANIZATIONS
Section 514B.13 - Open enrollment.

514B.13 Open enrollment. 1. 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 itaccepts enrollees up to the limits of its capacity, as determined by the health maintenanceorganization, in the order in which the prospective enrollees apply for enrollment. A healthmaintenance organization may apply to the commissioner for authorization to imposesuch underwriting restrictions upon enrollment as are necessary to preserve its financialstability, to prevent excessive adverse selection by prospective enrollees, or to avoidunreasonably high or unmarketable charges for enrollee coverage for health care services.The commissioner shall approve or deny the application made pursuant to this sectionwithin a reasonable period of time from the receipt of the application. 2. 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 groupcovered by the contract, including those members of the group who previously waivedcoverage. [C75, 77, 79, 81, §514B.13]2005 Acts, ch 70, §13; 2018 Acts, ch 1041, §127; 2019 Acts, ch 59, §186 Sat Dec 23 00:44:43 2023 Iowa Code 2024, Section 514B.13 (18, 0)

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