26.1-18.1-09. Information to enrollees or subscribers

26.1-18.1-09. Information to enrollees or subscribers

1. The health maintenance organization shall provide to its subscribers a list of providers

upon enrollment and re-enrollment.

2. Every health maintenance organization shall provide within thirty days to its

subscribers notice of any material change in the operation of the organization that will

affect them directly.

3. An enrollee must be notified in writing by the health maintenance organization of the

termination of the primary care provider who provided health care services to that

enrollee. The health maintenance organization shall provide assistance to the enrollee

in transferring to another participating primary care provider.

4. The health maintenance organization shall provide to subscribers information on how

services may be obtained, where additional information on access to services can be

obtained, and a telephone number where the enrollee can contact the health

maintenance organization, at no cost to the enrollee.