83-41-319 - Provision of information and notices to subscribers. - Mississippi Statutes

§ 83-41-319. Provision of information and notices to subscribers.
 

(1)  The health maintenance organization shall provide to its subscribers a list of providers, upon enrollment, re-enrollment or at a minimum annually. 

(2)  Every health maintenance organization shall provide within thirty (30) days to its subscribers notice of any material change in the operation of the organization that will affect them directly. 

(3)  An enrollee must be notified in writing by the health maintenance organization of the termination of the primary care provider who provided health care services to that enrollee, if the plan operates on a formal gatekeeper concept. The health maintenance organization shall provide assistance to the enrollee in transferring to another participating primary care provider. 

(4)  The health maintenance organization shall provide to subscribers information on how services may be obtained, where additional information on access to services can be obtained and a number where the enrollee can contact the health maintenance organization, at no cost to the enrollee. 
 

Sources: Laws,  1995, ch. 613, § 10, eff from and after July 1, 1995.