(a) The Insurance Commissioner shall issue an initial certificate of authority authorizing the applicant to issue contracts to its subscribers when it is shown to the satisfaction of the commissioner that:
(1) The applicant is established as a bona fide nonprofit hospital service corporation or medical service corporation or combination of the two;
(2) The contracts, if any, between the applicant and the participating hospitals or physicians obligate each hospital or physician executing the contracts to render service to which each subscriber may be entitled under the terms of the contracts to be issued to the subscribers;
(3) The amounts provided as working capital of the corporation are repayable, without interest, out of operating expenses;
(4) The amount of money actually available for working capital is sufficient to carry on the plan for a period of six (6) months from the date of issuance of the certificate of authority; and
(5) The applicant has secured contracts of participation from sufficient hospitals or physicians, or both, to provide ample protection for its subscribers within the area proposed to be served by the applicant.
(b) The certificate of authority shall expire or terminate and be subject to annual continuation, as provided in § 23-63-211 for insurers in general.
(c) The certificate of authority shall be subject to suspension or revocation as provided in §§ 23-63-212 -- 23-63-215.
(d) An applicant under this section may provide reinsurance coverage only in the specific areas of coverage set out in the applicant's certificate of authority.
Section: Previous 23-75-102 23-75-103 23-75-104 23-75-105 23-75-106 23-75-107 23-75-108 23-75-109 23-75-110 23-75-111 23-75-112 23-75-113 23-75-114 23-75-115 NextLast modified: November 15, 2016