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Current as of January 01, 2025 | Updated by Findlaw Staff
(a) A health maintenance organization approved and regulated under the laws of another state may be authorized by issuance of a certificate of authority to operate or do business in this Commonwealth by satisfying the commissioner and the secretary that it is fully and legally organized under the laws of its state, and that it complies with all requirements for health maintenance organizations organized within the Commonwealth.
(b) The commissioner and the secretary may waive or modify the provisions of this act under which they have the authority to act if they determine that the same are not appropriate to a particular health maintenance organization of another state, that such waiver or modification will be consistent with the purposes and provisions of this act, and that it will not result in unfair discrimination in favor of the health maintenance organization of another state.
(c) The commissioner and the secretary are hereby authorized and directed to develop with other states reciprocal licensing agreements concerning the licensure of health maintenance organizations which permit the commissioner and the secretary to accept audits, inspections and reviews of agencies from other states to determine whether health maintenance organizations licensed in other states meet Commonwealth requirements.
Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 P.S. Insurance § 1556.1. Foreign health maintenance organizations - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-40-ps-insurance/pa-st-sect-40-1556-1/
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