20-1058. Examination of health care services
organizations
A. The director may once in each six months for the first three years after
organization and once each year thereafter, or more often if deemed necessary by the
director, visit each health care services organization organized under the laws of this
state to examine its financial condition, its ability to meet its liabilities and its
compliance with the laws of this state affecting the conduct of its business. The
director may annually similarly visit and examine, either alone or jointly with
representatives of the insurance supervising departments of other states, each health
care services organization not organized under the laws of this state but authorized to
transact business in this state.
B. The director may in like manner examine each health care services organization
applying for an initial certificate of authority to do business in this state.
C. In lieu of making an examination, the director may accept a full report of the
last recent examination of a foreign or alien health care services organization,
certified to by the insurance supervisory official of another state, territory,
commonwealth or district of the United States.
D. The director of the department of health services may participate in the
examinations and visits described in this section and section 20-1064 to review the
delivery of health and medical services by the health care services organization.
E. All examinations and examination related expenses shall be borne by the health
care services organization and shall be paid by the insurance examiners' revolving fund
in accordance with sections 20-156 and 20-159.
F. Unless preempted under federal law or unless federal law imposes greater
requirements than this section, this section applies to a provider sponsored health care
services organization.
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