31.10.32.04

.04 Marketing Plan.

A. Development and Submission of Marketing Plan. Each year, a nonprofit health service plan shall:

(1) Develop a marketing plan; and

(2) Submit the marketing plan and any changes to the marketing plan to the board of directors of the nonprofit health service plan for approval.

B. Contents of Marketing Plan. A nonprofit health service plan shall include in the marketing plan all of the nonprofit health service plan's marketing goals and objectives in the State, including any plan to:

(1) Reenter a market;

(2) Retain or expand enrollment in a market or market segment;

(3) Change the product portfolio of the nonprofit health service plan;

(4) Establish or change distribution methods or sales systems of the nonprofit health service plan;

(5) Establish or change a pricing strategy;

(6) Form a partnership with another entity for marketing purposes;

(7) Establish or change a communication and image strategy;

(8) Engage in community outreach and education;

(9) Market membership through one company in a holding company system rather than another company in the holding company system; or

(10) Move subscribers from one company in a holding company system to another company in the holding company system.

C. Approval Required. A nonprofit health service plan may not wholly or partially implement a marketing plan or any change to the marketing plan unless the board of the nonprofit health service plan has approved the marketing plan or the change to the marketing plan.