354.475. Insurance companies or health service company may organize and operate a health maintenance organization. - Missouri Statutes

Insurance companies or health service company may organize and operatea health maintenance organization.

354.475. 1. An insurance company licensed in this state, or a healthservices corporation authorized to do business in this state, may directlyor through a subsidiary or affiliate organize and operate a healthmaintenance organization under the provisions of sections 354.400 to354.636 so long as they comply with the provisions of section 354.410 asapplicable thereto. Notwithstanding any other law to the contrary, any twoor more such insurance companies, health services corporations, orsubsidiaries or affiliates thereof, may jointly organize and operate ahealth maintenance organization.

2. Notwithstanding any other provision of law pertaining to insuranceand health services corporations to the contrary, an insurer or a healthservices corporation may contract with a health maintenance organization toprovide insurance or similar protection against the cost of care providedthrough health maintenance organizations and to provide coverage in theevent of the failure of the health maintenance organization to meet itsobligations. The enrollees of a health maintenance organization shall bedeemed to constitute a permissible group under such laws. Among otherthings, under such contracts, the insurer or health services corporationmay make benefit payments to health maintenance organizations for healthcare services rendered by providers.

(L. 1983 H.B. 127, A.L. 2007 S.B. 66)