Delaware Code Title 18 Sec. 6411 – Relationship to other laws
(a) Managed care organizations shall be subject to this chapter and to the following chapters of this title, as amended from time to time, to the extent applicable and not in conflict with the express provisions of this chapter. For purposes of the following chapters only, a managed care organization shall be treated as a health insurer, and its coverages shall be deemed to be “medical and hospital expense-incurred insurance policies” for purposes of Chapter 25 of this title:
(1) Chapter 1 of this title (General Definitions and Provisions).
(2) Chapter 3 of this title (The Insurance Commissioner).
(3) Chapter 5 of this title (Authorization of Insurers and General Requirements).
(4) Chapter 9 of this title (Kinds of Insurance; Limits of Risk; Reinsurance).
(5) Chapter 11 of this title (Assets and Liabilities).
(6) Chapter 13 of this title (Investments).
(7) Chapter 15 of this title (Administration of Deposits).
(8) Chapter 17 of this title (Licensing of Professional Insurance Personnel).
(9) Chapter 21 of this title (Unauthorized Insurers — Prohibitions, Process and Advertising).
(10) Chapter 23 of this title (Unfair Practices in the Insurance Business).
(11) Chapter 25 of this title (Rates and Rating Organizations).
(12) Chapter 27 of this title (The Insurance Contract).
(13) Chapter 33 of this title (Health Insurance Contracts).
(14) Chapter 34 of this title (Medicare Supplement Insurance Minimum Standards).
(15) Chapter 35 of this title (Group and Blanket Health Insurance).
(16) Chapter 36 of this title (Individual Health Insurance Minimum Standards).
(17) Chapter 50 of this title (Insurance Holding Company System Registration).
(18) Subchapter II of Chapter 58 of this title (Risk-Based Capital (RBC) for Health Organizations).
(19) Chapter 59 of this title (Rehabilitation and Liquidation).
(20) Chapter 44 of this title (Delaware Life and Health Insurance Guaranty Association Act).
Terms Used In Delaware Code Title 18 Sec. 6411
- Certified managed care organization: means a managed care organization which has been issued a certificate of authority under this title. See Delaware Code Title 18 Sec. 6403
- Managed care organization: means a public or private organization, organized under the laws of any state, which:
- Statute: A law passed by a legislature.
(b) A certified managed care organization shall not be deemed to be practicing medicine and the managed care organization shall be exempt from statutes, rules and regulations relating to the practice of medicine. A certified managed care organization shall not be deemed to be practicing any other licensed health-care profession, and the managed care organization shall be exempt from statutes, rules and regulations relating to such professions.
(c) Except as provided in § 6407 of this title, solicitation of enrollees by a certified managed care organization or its employees shall not be construed as a violation of any statute, rule or regulation relating to solicitation or advertising by health professionals.
63 Del. Laws, c. 382, § ?1; 66 Del. Laws, c. 124, §§ ?1, 11-15; 69 Del. Laws, c. 404, § ?1; 71 Del. Laws, c. 229, §§ ?1, 7; 72 Del. Laws, c. 200, §§ ?1, 2; 75 Del. Laws, c. 362, § ?2; 79 Del. Laws, c. 425, § ?5; 82 Del. Laws, c. 113, § 11;