Pennsylvania Statutes Title 40 P.S. Insurance § 1555.1. Certificate of authority

(i) Has demonstrated the potential ability to assure both availability and accessibility of adequate personnel and facilities in a manner enhancing availability, accessibility and continuity of services;

(ii) Has arrangements for an ongoing quality of health care assurance program; and

(iii) Has appropriate mechanisms whereby the health maintenance organization will effectively provide or arrange for the provision of basic health care services on a prepaid basis; and

(i) The adequacy of working capital and funding sources.

(ii) Arrangements for insuring the payment of the cost of health care services or the provision for automatic applicability of an alternative coverage in the event of discontinuance of the health maintenance organization.

(iii) Any agreement with providers of health care services whereby they assume financial risk for the provision of services to subscribers.

(iv) Any deposit of cash, or guaranty or maintenance or minimum restricted reserves which the commissioner, by regulation, may adopt to assure that the obligations to subscribers will be performed.