§ 9.676. Enrollee rights.
(a) A plan shall have a written policy that shall state the plans commitment to treating an enrollee in a manner that respects the enrollees rights and shall include the plans expectations of a members responsibilities.
(b) An HMO shall offer to each enrollee, who becomes ineligible to continue as a part of a group subscriber agreement, a nongroup subscription agreement offering the same level of benefits as are available to a group subscriber.
(c) An HMO may not expel or refuse to reenroll an enrollee solely because of the enrollees health care needs, nor refuse to enroll individual subscribers of a group on the basis of health status or health care needs of the individuals.
No part of the information on this site may be reproduced for profit or sold for profit.
This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.