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Terms Used In Louisiana Revised Statutes 22:259

  • Commissioner: means the commissioner of insurance. See Louisiana Revised Statutes 22:242
  • Health maintenance organization: means any corporation organized as either a business corporation or a nonprofit corporation and domiciled in this state which undertakes to provide or arrange for the provision of basic health care services to enrollees in return for a prepaid charge. See Louisiana Revised Statutes 22:242

            When the commissioner has cause to believe that grounds for the denial, suspension, or revocation of an application for a certificate of authority exist, in accordance with La. Rev. Stat. 49:977.3, the commissioner shall issue an order denying, suspending, or revoking the application and shall notify the health maintenance organization in writing specifically stating the grounds for denial, suspension, or revocation. An aggrieved party affected by the commissioner’s decision, act, or order may demand a hearing in accordance with Chapter 12 of this Title, La. Rev. Stat. 22:2191 et seq.

            Acts 1986, No. 1065, §1; Redesignated from La. Rev. Stat. 22:2015 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 317, §1.

NOTE: Former La. Rev. Stat. 22:259 redesignated as La. Rev. Stat. 22:149 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.