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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.
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.
