TITLE 41

INSURANCE

CHAPTER 39

MANAGED CARE REFORM

41-3911.  Examinations. (1) The director shall make an examination of the affairs and operations of any organization offering a managed care plan for which a certificate of authority is required as often as he deems necessary but not less frequently than once every five (5) years.

(2)  Every such organization shall upon the director’s request submit its books and records relating to its affairs and operations to such examination and shall facilitate the examination.

(3)  Health records of individuals and records of providers providing services under a contract with the managed care organization shall not be subject to such examination, except as provided in section 41-3909(3), Idaho Code.

(4)  At the direction of the director, the expenses of examination shall be borne by the organization being examined in accordance with section 41-228, Idaho Code.

History:

[41-3911, added 1974, ch. 177, sec. 11, p. 1444; am. 1997, ch. 204, sec. 12, p. 589; am. 2001, ch. 85, sec. 11, p. 219.]