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Regulation31 Pa. Code § 152.25

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

Pennsylvania · PAID
First seen July 21, 2026 · last checked July 21, 2026
Version history
v1fetched Jul 21, 20269ab6ebc88fc5
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Public law · full text
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(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.
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(b) A risk-assuming preferred provider organization which is not a licensed insurer is subject to the following statutes and regulations promulgated thereunder:
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(1) Article V of The Insurance Department Act of one thousand nine hundred and twenty-one (40 P. S. § § 221.1—221.63).
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(2) The Unfair Insurance Practices Act (40 P. S. § § 1171.1—1171.15).
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(3) The act of August 1, 1975 (P. L. 157, No. 81) (40 P. S. § § 771—774).
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(4) Article VI-A of the act (40 P. S. § § 908-1—908-8).
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(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)).
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(6) The act of December 23, 1981 (P. L. 583, No. 168) (40 P. S. § § 3001—3003).
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(7) The act of December 27, 1965 (P. L. 1247, No. 506) (40 P. S. § § 1501—1503).
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(8) The act of April 18, 1978 (P. L. 33, No. 16) (40 P. S. § § 767—769).
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(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.