Health Maintenance Organizations

Requirements, Assessments, and Fees

Forms

• HMO Application Form
• HMO Application Instructions
• Financial Statement Checklist
• Company Financial Regulation Fee – Due June 1st each year
• AntiFraud Assessment Form

Insurance companies licensed in the State of Arkansas must submit an antifraud plan pursuant to the antifraud initiative requirements of [A.C.A. §23-66-510 (a)]. Questions concerning the requirements should be directed to the Criminal Investigations Division at 501-371-2790 or e-mail. [Also reference: Mandatory Reporting of suspected insurance fraud, fraud warnings, antifraud initiatives and disqualifications required by Act 217 of 1997 Bulletin No. 7-97 and Antifraud Initiative Requirements 23 CAR pt 26.]

For additional information on Bulletins and Finalized Rules, visit the Legal Division.

Anti-Fraud Requirement:

An assessment to support the Criminal Investigation Division is collected annually. The Insurance Commissioner has established an antifraud assessment schedule pursuant to [A.C.A. § 23-100-104]. [See also 23 CAR pt 4] The assessment is based upon the direct premium and/or annuity consideration written or renewed from or in the State of Arkansas during the previous calendar year. The antifraud assessment form is available online through OPTIns. [A.C.A. § 23-100-101 through 107].

Financial Statements