40 Pennsylvania Consolidated Statutes Chapter 63 - Professional Health Services Plan Corporations

• Chapter Notes

Subchapter A.  Preliminary Provisions and Certification

• Section 6301 - Application Of Chapter
  (a) General rule.--This chapter shall apply to every person engaged in the business of maintaining and operating a nonprofit health service plan and to...
• Section 6302 - Definitions
  (a) General rule.--The following words and phrases when used in this chapter shall have, unless the context clearly indicates otherwise, the meanings given to...
• Section 6303 - Statement Of Legislative Findings And Policy
  (a) Declaration of necessity.--It is hereby declared that adequate professional health services are essential for the maintenance of the physical and mental health of...
• Section 6304 - Certification Of Professional Health Service Corporations
  (a) General rule.--A corporation not-for-profit incorporated for the purpose of establishing, maintaining and operating a nonprofit professional health service plan, nonprofit dental service plan...
• Section 6305 - Initial Reserves
  No professional health service corporation shall receive a certificate of authority under this chapter unless it has set up a minimum reserve of $25,000...
• Section 6306 - Standards Concerning Incorporators
  No certificate of authority shall be issued to a professional health service corporation unless all of its incorporators were residents of this Commonwealth and...
• Section 6307 - Exemptions Applicable To Certificated Professional Health Service Corporations
  § 6307. Exemptions applicable to certificated professional health service corporations. (a) General insurance laws.--A professional health service corporation shall be subject to regulation and...
• Section 6308 - Uncertificated Plans Prohibited
  (a) General rule.--It shall be unlawful for any person, other than a professional health service corporation holding a certificate of authority under this chapter...
• Section 6309 - Penalties
  Any person who violates any provision of this chapter or of any regulation or order of the Department of Health or of the Insurance...
• Section 6310 - Enforcement
  When necessary to effect the purposes of this chapter, in addition to all other remedies in law or equity, the Insurance Department or the...

Subchapter B.  Regulation Generally

• Section 6321 - Required Reserves
  A professional health service corporation shall at all times while engaged in business maintain reserves, in such form and amount as the department may...
• Section 6322 - Scope Of Service
  (a) Territory of service.--The certificate of authority of a professional health service corporation shall define the limits of the area in which it may...
• Section 6323 - Action As Agent Under Federal And Other Programs
  (a) General rule.--Any professional health service corporation may, with the approval of the department, act as a contracting agency or organization under section 1842...
• Section 6324 - Rights Of Health Service Doctors
  (a) Admission to plan.--Every health service doctor practicing within the area covered by any professional health service corporation shall have the right, on complying...
• Section 6325 - Income Status; Effect
  (a) Income standards.-- (1) Every professional health service corporation shall from time to time, by action of its members, fix the requisites for persons...
• Section 6326 - Specifically Authorized Contract Provisions
  A professional health service corporation may, as a condition precedent to entering into a contract with an applicant or group of applicants for professional...
• Section 6327 - Subscriptions Provided For Persons On Relief
  Every government agency which is charged by law with the duty of providing professional health services for persons unable to provide it at their...
• Section 6328 - Board Of Directors
  (a) Professional health service corporations generally.--The business of every professional health service corporation, except a general medical service corporation, shall be managed by a...
• Section 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...
• Section 6330 - Investment Of Funds
  Any statute to the contrary notwithstanding, funds of any professional health service corporation, equal to its reserves, shall be invested in compliance with the...
• Section 6331 - Reports And Examinations
  (a) Annual report.--Every professional health service corporation shall, on or before March 1 of each year, file with the department a statement, verified by...
• Section 6332 - Regulation By Department Of Health
  (a) Annual reports.--Every professional health service corporation shall, on or before March 1 of each year, file with the Department of Health a report...
• Section 6333 - Dental Service Agents
  Any dental service corporation may select any person to act as its agent in the performance of any of its functions.
• Section 6334 - Dissolution Or Liquidation
  No professional health service corporation shall be dissolved under the provisions of Title 15 (relating to corporations and unincorporated associations) or under any other...
• Section 6335 - Ancillary Health Services
  Anything in this chapter to the contrary notwithstanding, a professional health service corporation may provide ancillary health services through ancillary health service providers. An...

Last modified: October 8, 2016