31 Pa. Code § 152.25. Application of insurance laws to preferred provider organizations and their agents.

§ 152.25. Application of insurance laws to preferred provider organizations and their agents.

(a)  A preferred provider organization which is a licensed insurer, and its agents, remain subject to statutes, rules and regulations which apply to licensed insurers and their agents in this Commonwealth.
(b)  A risk-assuming preferred provider organization which is not a licensed insurer is subject to the following statutes and regulations promulgated thereunder:
   (1)  Article V of The Insurance Department Act of one thousand nine hundred and twenty-one (40 P. S. § §  221.1—221.63).
   (2)  The Unfair Insurance Practices Act (40 P. S. § §  1171.1—1171.15).
   (3)  The act of August 1, 1975 (P. L. 157, No. 81) (40 P. S. § §  771—774).
   (4)  Article VI-A of the act (40 P. S. § §  908-1—908-8).
   (5)  Section 621.2(a)(6) and (d) of the act of May 17, 1921 (P. L. 682, No. 284) (40 P. S. §  756.2(a)(6) and (d)).
   (6)  The act of December 23, 1981 (P. L. 583, No. 168) (40 P. S. § §  3001—3003).
   (7)  The act of December 27, 1965 (P. L. 1247, No. 506) (40 P. S. § §  1501—1503).
   (8)  The act of April 18, 1978 (P. L. 33, No. 16) (40 P. S. § §  767—769).
(c)  Agents for risk-assuming preferred provider organizations which are not licensed insurers will be licensed as accident and health insurance agents and subject to statutes, rules and regulations applicable to insurance agents.

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