HMO & CONTRACT PROVIDER EXAM TIME LINES
What changed between versions
Updated definitions for 'acquire', 'affiliate', 'control', 'enterprise risk', 'group-wide supervisor', 'health maintenance organization', 'insurance holding company', 'insurer', 'internationally active insurance group', 'liquidity stress test framework', 'person', 'securityholder', 'subsidiary', and 'voting security' to align with current regulatory standards.
Added requirements for group capital calculation reports and liquidity stress tests to better monitor financial stability of insurance holding company systems.
Modified the timeline for examinations of health maintenance organizations and contract providers to improve regulatory oversight efficiency.
Established specific criteria for 'internationally active insurance group' status, requiring operations in at least three counties, 10% gross premiums written outside the United States, and total assets of at least $50 billion or gross written premiums of at least $10 billion.
Enhanced superintendent authority to determine actual control existence based on specific findings of fact, even when legal presumptions suggest otherwise.