2012 Pennsylvania Consolidated Statutes
Title 40 - INSURANCE
Chapter 63 - Professional Health Services Plan Corporations
Section 6332 - Regulation by Department of Health

     § 6332.  Regulation by Department of Health.
        (a)  Annual reports.--Every professional health service
     corporation shall, on or before March 1 of each year, file with
     the Department of Health a report of its activities, other than
     its financial activities, during the preceding calendar year.
     Every such report shall be verified by at least two of the
     principal officers of the corporation and shall be in such form,
     and shall contain such matter, as the Department of Health shall
     prescribe. The Department of Health is hereby authorized to
     inquire into the activities of every professional health service
     corporation and to determine whether the corporation is
     providing adequate professional health services to its
     subscribers in accordance with the best professional health
     service practice in the community.
        (b)  Examination and special reports.--The Department of
     Health and its agents shall have free access to all the books,
     records, papers and documents that relate to the business of the
     corporation, other than financial, and the power to examine the
     officers, agents, employees, and subscribers for the
     professional health services of the corporation, and all health
     service doctors registered with the corporation, and all other
     persons having or having had substantial part in the work of the
     corporation, in relation to its affairs, transactions, and
     condition of the corporation, other than financial. Such
     examinations shall be made at such times as the Department of
     Health shall deem necessary. The Department of Health may, at
     any time, without making such examination, call on any such
     corporation for a written report, authenticated by at least two
     of its principal officers, concerning the affairs of the
     corporation other than its financial affairs.
        (c)  Extension or improvement of service pursuant to order.--
     In the event the Department of Health finds that a professional
     health service corporation does not provide adequate
     professional health services to its subscribers in accordance
     with the best professional health service practice in the
     community, the Department of Health may notify the corporation
     of its findings and order the corporation, in specific terms, to
     extend or improve the professional health services furnished by
     the corporation. Such order shall be entered after notice and
     opportunity for hearing and shall be subject to judicial review
     in the manner and within the time provided by law.

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