(1) The commissioner
may make an examination of the operations of any health
maintenance organization as often as he deems necessary in order
to carry out the purposes of this chapter.
(2) Every health maintenance organization shall submit its
books and records relating its operation for financial condition
and market conduct examinations and in every way facilitate them.
The quality or appropriateness of medical services or systems
shall not be examined except to the extent that such items are
incidental to an examination of the financial condition or the
market conduct of a health maintenance organization. For the
purpose of examinations, the commissioner may issue subpoenas,
administer oaths, and examine the officers and principals of the
health maintenance organization and the principals of such
providers concerning their business.
(3) The commissioner may elect to accept and rely on audit
reports made by an independent certified public accountant for
the health maintenance organization in the course of that part of
the commissioner's examination covering the same general subject
matter as the audit. The commissioner may incorporate the audit
report in his report of the examination.
[2007 c 468 § 2; 1987 c 83 § 1; 1986 c 296 § 9; 1985 c 7 § 115; 1983 c 63 § 2; 1975 1st ex.s. c 290 § 13.]
NOTES:
Severability -- Effective date -- 1986 c 296: See notes following RCW 48.14.020.