Montana Code 33-22-1908. Enforcement
Current as of: 2023 | Check for updates
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33-22-1908. Enforcement. If the commissioner determines that a health benefit plan does not comply with this part or that a health carrier has not complied with a provision of this part, the commissioner may:
Terms Used In Montana Code 33-22-1908
- Health benefit plan: means any individual or group plan, policy, certificate, subscriber contract, contract of insurance provided by a managed care plan, preferred provider agreement, or health maintenance organization subscriber contract that is issued, delivered, issued for delivery, or renewed in this state by a health carrier that pays for, purchases, or furnishes health care services to covered persons who receive health care services in this state. See Montana Code 33-22-1902
- Health carrier: means a disability insurer, health care insurer, health maintenance organization, accident and sickness insurer, fraternal benefit society, nonprofit hospital service corporation, health service corporation, health care service plan, preferred provider organization or arrangement, multiple employer welfare arrangement, or any other person, firm, corporation, joint venture, or similar business entity. See Montana Code 33-22-1902
(1)recommend a correction plan that must be followed by the health carrier;
(2)institute corrective action that must be followed by the health carrier;
(3)suspend or revoke the certificate of authority or deny the health carrier’s application for a certificate of authority; or
(4)use any of the commissioner’s enforcement powers to obtain the health carrier’s compliance with this part.