521F.8  Confidential hearings.

1.  A health organization receiving a notification pursuant to subsection 2 is entitled to a confidential hearing before the insurance division, at which the health organization may challenge a determination or action by the commissioner. Upon receipt of the health organization's request for a hearing, the commissioner shall set a date for the hearing, which shall be not less than ten and not more than thirty days after the date of the health organization's request.

2.  A health organization shall notify the commissioner of the health organization's request for a confidential hearing within five days after the occurrence of any of the following:

a.  Notification to a health organization by the commissioner of an adjusted risk-based capital report.

b.  Notification to a health organization by the commissioner of both of the following:

(1)  That the health organization's risk-based capital plan or revised risk-based capital plan is unsatisfactory.

(2)  That the notification pursuant to this paragraph constitutes a regulatory-action-level event with respect to the health organization.

c.  Notification to a health organization by the commissioner that the health organization has failed to adhere to its risk-based capital plan or revised risk-based capital plan and that the failure has a substantial adverse effect on the ability of the health organization to eliminate the company-action-level event in accordance with its risk-based capital plan or revised risk-based capital plan.

d.  Notification to a health organization by the commissioner of a corrective order with respect to the health organization.

Section History: Recent form

  2000 Acts, ch 1050, §8; 2000 Acts, ch 1232, §81


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