62A.4513 ISSUANCE OF CERTIFICATE OF AUTHORITY; DENIAL.

271 words·~1 min read·/mn/chapter-62/62a-4513

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Subdivision 1. Issuance.

Following receipt of an application filed under section 62A.4512 , the commissioner shall review the application and notify the applicant of any deficiencies. The commissioner must approve or deny an application within 90 days after receipt of a substantially complete application, or the application is deemed approved. The commissioner shall issue a certificate of authority to an applicant provided that the following conditions are met:

(1)the requirements of section 62A.4512 have been fulfilled;

(2)the individuals responsible for conducting the applicant's affairs are competent, trustworthy, and possess good reputations, and have had appropriate experience, training, or education;

(3)the applicant is financially responsible and may reasonably be expected to meet its obligations to enrollees and to prospective enrollees. In making this determination, the commissioner may consider:

(i)the financial soundness of the applicant's arrangements for limited health services;

(ii)the adequacy of working capital, other sources of funding, and provisions for contingencies;

(iii)any agreement for paying the cost of the limited health services or for alternative coverage in the event of insolvency of the prepaid limited health service organization; and

(iv)the manner in which the requirements of section 62A.4523 have been fulfilled; and

(4)any deficiencies identified by the commissioner have been corrected.

Subd. 2. Denials.

If the certificate of authority is denied, the commissioner shall notify the applicant and shall specify the reasons for denial in the notice. The prepaid limited health service organization has 30 days from the date of receipt of the notice to request a hearing before the commissioner under chapter 14.