§ 26-34-122 — Rehabilitation, liquidation or conservation of a health maintenance organization

Wyoming § 26-34-122

• Jurisdiction: Wyoming
• Title 26: Insurance Code
• Ch. 34: HEALTH MAINTENANCE ORGANIZATIONS

Text

(a) Any rehabilitation, liquidation or conservation of a
health maintenance organization is deemed to be the
rehabilitation, liquidation or conservation of an insurance
company and shall be conducted under the commissioner's
supervision pursuant to the provisions of this code governing
the rehabilitation, liquidation or conservation of insurance
companies. The commissioner may apply for an order directing
him to rehabilitate, liquidate or conserve a health maintenance
organization upon any one (1) or more grounds set out in chapter
28 of this code, or if in his opinion the continued operation of
the health maintenance organization would be hazardous either to
the enrollees or to the people of this state. Enrollees have
the same priority in the event of liquidation or rehabilitation
as the law provides to policyholders of an insurer.
(b) For purposes of determining the priority of
distribution of general assets, claims of enrollees and
enrollees' beneficiaries shall have the same priority as
established by chapter 28 of this code for policyholders and
beneficiaries of insureds of insurance companies. If an enrollee
is liable to any provider for services provided pursuant to and
covered by the health care plan, that liability shall have the
status of an enrollee claim for distribution of general assets.
(c) Any provider who is obligated by statute or agreement
to hold enrollees harmless from liability for services provided
pursuant to and covered by a health care plan shall have a
priority of distribution of the general assets immediately
following that of enrollees and enrollees' beneficiaries as
described herein, and immediately preceding the priority of
distribution described in W.S. 26-28-125(a)(iv).