Form FIS0273 Health Maintenance Organization (HMO) / Alternative Health Care Financing and Delivery System (Afds) Application for Certificate of Authority - Michigan

Form FIS0273 Health Maintenance Organization (HMO) / Alternative Health Care Financing and Delivery System (Afds) Application for Certificate of Authority - Michigan

What Is Form FIS0273?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FIS0273?
A: Form FIS0273 is an application for Certificate of Authority for Health Maintenance Organization (HMO) or Alternative Health Care Financing and Delivery System (AFDS) in Michigan.

Q: What is a Health Maintenance Organization (HMO)?
A: A Health Maintenance Organization (HMO) is a type of health insurance plan that provides comprehensive medical services through a network of healthcare providers.

Q: What is an Alternative Health Care Financing and Delivery System (AFDS)?
A: An Alternative Health Care Financing and Delivery System (AFDS) is a healthcare model that offers alternative methods of financing and delivering healthcare services.

Q: Who should use Form FIS0273?
A: Form FIS0273 should be used by entities applying for a Certificate of Authority to operate as an HMO or AFDS in Michigan.

Q: What information is required in Form FIS0273?
A: Form FIS0273 requires information about the applicant entity, its corporate structure, proposed service area, management arrangements, financial stability, and compliance with applicable laws and regulations.

Q: Are there any fees associated with the application?
A: Yes, there are fees associated with the application. The specific fees can be found in the instructions accompanying Form FIS0273.

Q: What is the purpose of obtaining a Certificate of Authority?
A: Obtaining a Certificate of Authority allows an entity to legally operate as an HMO or AFDS in Michigan and provide healthcare services to residents.

Q: Is there a deadline for submitting the application?
A: The application should be submitted at least 120 days prior to the proposed effective date of the certificate.

Q: Who can I contact for more information or assistance?
A: For more information or assistance, you can contact the Michigan Department of Insurance and Financial Services.

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Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the Michigan Department of Insurance and Financial Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FIS0273 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.

Download Form FIS0273 Health Maintenance Organization (HMO) / Alternative Health Care Financing and Delivery System (Afds) Application for Certificate of Authority - Michigan

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