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17:48A-7.8 - Review of practices, rules and procedures of medical service corporations

17:48A-7.8.  Review of practices, rules and procedures of medical service corporations
    All practices, rules, and procedures of a medical service corporation, involving termination or refusal to renew coverage, modification of coverage or  rates in the case of persons classified as left-group, selection of risks, and  underwriting classifications, shall be subject to review at any time by the  commissioner and upon his request for information relative to any such practice, rule, or procedure the medical service corporation shall furnish such  information in writing without delay.  If in the opinion of the commissioner  any such practice, rule, or procedure, is unjust, unfair, or inequitable,  taking into consideration the nonprofit and tax-exempt status of the medical  service corporation, he shall so notify the medical service corporation and fix  a time and place for hearing before him or his designated representative at  which the medical service corporation may be heard. Following such hearing,  the commissioner may make an order based on the record of the proceeding.  If  such order be one of disapproval, it shall be unlawful for the corporation to  continue such practice, rule, or procedure. Such disapproval by the  commissioner shall be subject to review by the Superior Court in a proceeding  in lieu of prerogative writ.

     L.1964, c. 105, s. 8.
 

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