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Rates and contracts - 40 Pa. Cons. Stat. § 6329

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     § 6329.  Rates and contracts.
        (a)  General rule.--All rates charged subscribers or groups
     of subscribers by any professional health service corporation,
     and the form and content of all contracts between any such
     corporation and its subscribers or groups of subscribers, all
     methods and rates of payment by such corporation to health
     service doctors serving its subscribers, all acquisition costs
     in procuring subscribers, the reserves to be maintained by such
     corporation, and all contracts entered into by any such
     corporation and extending over a period of more than one year or
     calling for the expenditure by the corporation of any amount in
     excess of 20% of its reserves, shall be approved by the
     department before they become effective.
        (b)  Procedure.--Every application for such approval shall be
     made to the department in writing and shall be subject to the
     provisions of subsections (c) through (f) of section 6102 of
     this title (relating to certification of hospital plan
     corporations), except that the department may substitute
     publication in the Pennsylvania Bulletin of notice of reasonable
     opportunity to submit written comments for publication of
     opportunity for hearing in any case where the right to an oral
     hearing is not conferred by the Constitution of the United
     States or the Constitution of Pennsylvania. Within 60 days after
     the filing of the application the department shall approve or
     refuse such application.

        1996 Partial Repeal.  Section 14 of Act 159 of 1996, known as
     the Accident and Health Filing Reform Act, provided that subsec.
     (a) is repealed insofar as it provides for the approval of rates
     and contracts.

Last modified: November 27, 2007