<?xml version='1.0' encoding='utf-8'?>
<section article="ghg" article_name="Health - General" number="19-716" title_number="19" title_name="Health Care Facilities" subtitle_number="7" subtitle_name="Health Maintenance Organizations">
  <text>Annually, each health maintenance organization shall provide to its members and make available to the general public, in clear, readable, and concise form:</text>
  <level label="1">
    <text>A summary of the most recent financial report that the health maintenance organization submits to the Commissioner under § 19-717 of this subtitle;</text>
  </level>
  <level label="2">
    <text>A description of the benefit packages available and the nongroup rates required by the Commissioner;</text>
  </level>
  <level label="3">
    <text>A description of the accessibility and availability of services, including where and how to obtain them;</text>
  </level>
  <level label="4">
    <text>A statement of the potential responsibility of a member for payment for services the member seeks to obtain from a provider, including a physician or hospital, that does not have a written contract with the health maintenance organization;</text>
  </level>
  <level label="5">
    <text>A description of procedures to be followed for emergency services, including:</text>
    <level label="i">
      <text>The appropriate use of hospital emergency facilities;</text>
    </level>
    <level label="ii">
      <text>The appropriate use, location, and hours of operation of any urgent care facilities operated by the health maintenance organization; and</text>
    </level>
    <level label="iii">
      <text>The potential responsibility of subscribers and enrollees for payment for emergency services or nonemergency services rendered in a hospital emergency facility;</text>
    </level>
  </level>
  <level label="6">
    <text>A statement that shows, by category, the percentage of members assisted by public funds;</text>
  </level>
  <level label="7">
    <text>The information required to be disclosed by § 15-1206 of the Insurance Article; and</text>
  </level>
  <level label="8">
    <text>Any other information that the Commissioner or the Department requires by rule or regulation.</text>
  </level>
</section>
