§ 36-6910. Information to be provided to subscribers.

Every health maintenance organization (HMO) shall:

1.  Provide to its subscribers electronically or in paper copy a list of providers upon enrollment and make such list available electronically or in paper copy upon reenrollment; provided, a subscriber has submitted written assurances that the subscriber can view and print such electronic copy;

2.  Provide to its subscribers notice of any material change in the operation of the organization that will affect them directly, no later than thirty (30) days after such change;

3.  Immediately notify an enrollee in writing of the termination of the enrollee’s primary care provider and shall provide assistance to the enrollee in transferring to another participating primary care provider; and

4.  Provide to subscribers, electronically or in paper copy, information on:

a.how to obtain services,

b.where to obtain additional information on access to services, and

c.how to contact the HMO at no cost to the enrollee.

Added by Laws 2003, c. 197, § 10, eff. Nov. 1, 2003.