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M.__Provide for and employ cost-containment measures and | | requirements, including, but not limited to, preadmission | | screening, 2nd surgical opinion, concurrent utilization review | | and individual case management for the purpose of making the | | benefit plan more cost-effective; |
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| | | N.__Design, use, contract or otherwise arrange for the | | delivery of cost-effective health care services, including | | establishing or contracting with preferred provider | | organizations, health maintenance organizations and other | | limited network provider arrangements; |
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| | | O.__Apply for funds or grants from public or private | | sources, including federal grants provided to qualified | | high-risk pools; and |
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| | | P.__Develop a plan to subsidize low-income individuals and | | submit that plan to the joint standing committee of the | | Legislature having jurisdiction over insurance matters no | | later than February 1, 2006.__The joint standing committee | | of the Legislature having jurisdiction over insurance | | matters may report out legislation to the Second Regular | | Session of the 122nd Legislature to implement the plan | | submitted by the association. |
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| | | 3.__Additional duties and powers.__The superintendent may, by | | rule, establish additional powers and duties of the board and may | | adopt such rules as are necessary and proper to implement this | | chapter.__Rules adopted pursuant to this subsection are routine | | technical rules as defined in Title 5, chapter 375, subchapter 2- | | A. |
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| | | 4.__Review for solvency.__The superintendent shall review the | | association at least every 3 years to determine its solvency.__If | | the superintendent determines that the funds of the association | | are insufficient to support enrollment of additional persons, the | | superintendent may order the association to increase its | | assessments or increase its premium rates.__If the superintendent | | determines that the funds of the association are insufficient to | | support the enrollment of additional persons and that the cap of | | assessments in section 3908 is too low to support the enrollment | | of additional persons, the superintendent may order the | | association to charge assessments in excess of the cap for a | | period not to exceed 12 months. |
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| | | 5.__Annual report.__The association shall report annually to | | the joint standing committee of the Legislature having | | jurisdiction over health insurance matters by March 15th.__The | | report must include information on the benefits and rate | | structure of coverage offered by the association, the financial |
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