500.3511 Governing body; election of enrollee board members; requirements; meetings.
210 words·~1 min read·
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500.3511 Governing body; election of enrollee board members; requirements; meetings.
Sec. 3511.
(1)A health maintenance organization's governing body must include no less than 1 individual who represents the health maintenance organization's membership.
(2)A health maintenance organization that is under a contract with this state to provide medical services authorized under subchapter XIX or XXI of the social security act, 42 USC 1396 to 1396w-5 and 1397aa to 1397mm, shall comply with either of the following requirements:
(a)A minimum of 1/3 of its governing body must be representatives of its membership consisting of enrollees of the organization who are not compensated officers, employees, or other individuals responsible for the conduct of, or financially interested in, the organization's affairs.
(b)The health maintenance organization must establish a consumer advisory council that reports to the governing body. The consumer advisory council must include at least 1 enrollee, 1 family member or legal guardian of an enrollee, and 1 consumer advocate.
(3)A health maintenance organization's governing body shall meet at least quarterly unless specifically exempted from this requirement by the director.
History: Add. 2000, Act 252 , Imd. Eff. June 29, 2000 ;-- Am. 2016, Act 276 , Imd. Eff. July 1, 2016
Popular Name: Act 218
Popular Name: HMO