(a) A certificate shall expire on the second anniversary of its effective date unless the certificate is renewed for a two-year term as provided in this Code section.
(b) Before the certificate expires but no sooner than 90 days prior to such expiration, a certificate may be renewed for an additional two-year term if the applicant:
(1) Otherwise is entitled to the certificate;
(2) Pays to the Commissioner the renewal fee as provided in Code Section 33-8-1;
(3) Submits to the Commissioner:
(A) A renewal application on the form that the Commissioner requires; and
(B) Satisfactory evidence of compliance with any requirements established by the Commissioner for certificate renewal; and (4)(A) Establishes and maintains a complaint system which has been approved by the Commissioner and which provides reasonable procedures for the resolution of written complaints initiated by enrollees or health care providers concerning utilization review;
(B) Maintains records of such written complaints for five years from the time the complaints are filed and submits to the Commissioner a summary report at such times and in such format as the Commissioner may require; and
(C) Permits the Commissioner to examine the complaints at any time.
Section: Previous 33-46-1 33-46-2 33-46-3 33-46-4 33-46-5 33-46-6 33-46-7 33-46-8 33-46-9 33-46-10 33-46-11 33-46-12 33-46-13 33-46-14 NextLast modified: October 14, 2016