§ 10-16-1010 — Marketing requirements of cooperatives

(1) A cooperative shall
use appropriate, efficient, and standardized means to notify members and
prospective members and their eligible employees of the availability of sponsored
health-care coverage from the cooperative.

(2) A cooperative shall make available to members and prospective members
and their eligible employees marketing materials that accurately summarize the
health benefit plans that are offered by its licensed provider networks, licensed
individual providers, and other carriers, and rates, costs, and accreditation
information relating to those plans. A cooperative shall also summarize the services
offered by all other provider networks and individual providers the cooperative
offers, the rates for those services, and accreditation information relating to those
provider networks.

(3) A cooperative may offer nonlicensed provider networks or individual
providers only to self-insured members of the cooperative. Nonlicensed provider
networks or individual providers may also be offered to members not self-insured if
the services offered do not involve transacting insurance business, as defined in
section 10-3-903. The members may choose which health benefit plans shall be
offered to eligible employees and may change the selection each year. The
employee may be given options with regard to health benefit plans and the type of
managed care system under which benefits will be provided.

Legislative History

Source: L. 2004: Entire part added, p. 1004, � 14, effective August 4.