(1) These rules apply 60 days after effective date
to all health maintenance organizations that are required to obtain a
certificate of authority in this state. If these rules conflict with other
rules adopted by the commissioner, these rules control as to health maintenance
organizations.
(2) A
new contract or evidence of coverage may not be delivered or issued for
delivery in this state 60 days after the effective date of these rules unless
it complies with these rules.
(3) A
contract or evidence of coverage may not be reissued, renewed, amended, or
extended in this state on or after the effective date of these rules unless it
complies with these rules. A contract or evidence of coverage approved before
the effective date of these rules is considered to be reissued, renewed, amended,
or extended on the date the health maintenance organization changes the terms
of the contract or evidence of coverage or adjusts the premiums charged. A
contract or evidence of coverage must comply with these rules when it is
amended or within 12 months after the effective date of these rules, whichever
is earlier.