83-41-333 - Rules and regulations generally; exemptions from certification requirement.

§ 83-41-333. Rules and regulations generally; exemptions from certification requirement.
 

(1)  The commissioner may, after notice and hearing, promulgate rules and regulations as are necessary to provide for the licensing of health maintenance organization producers. The rules shall establish: 

(a) The requirements for licensure of resident health maintenance organization producers; 

(b) The conditions for entering into reciprocal agreements with other jurisdictions for the licensure of nonresident health maintenance organization producers; 

(c) Any examination, prelicensing or continuing education requirements; 

(d) The requirements for registering and terminating the appointment of health maintenance organization producers; 

(e) Any requirements for registering any assumed names or office locations in which an health maintenance organization producer does business; 

(f) The conditions for health maintenance organization producer license renewal; 

(g) The grounds for denial, refusal, suspension or revocation of an health maintenance organization producer's license; 

(h) Any required fees for the licensing activities of health maintenance organization producers; and 

(i) Any other requirement or procedure and any form as may be reasonably necessary to provide for the effective administration of the licensing of health maintenance organization producers under this section. 

(2)  The commissioner may by rule exempt certain classes of persons from the requirement of obtaining a license: 

(a) If the functions they perform do not require special competence, trustworthiness or the regulatory surveillance made possible by licensing; or 

(b) If other existing safeguards make regulation unnecessary. 
 

Sources: Laws,  1995, ch. 613, § 17, eff from and after July 1, 1995.