- Início
- Livros E Revistas
- Contratos de Planos de Saúde
- Anexo. Legislações Específicas Sobre Os Planos de Saúde
Resolução Normativa - RN nº 196, de 14 de julho de 2009
Autor | Josiane Araújo Gomes |
Ocupação do Autor | Mestra em Direito Público pela Universidade Federal de Uberlândia (UFU). Especialista em Direito das Famílias pela Universidade Federal de Uberlândia (UFU). Servidora do Tribunal de Justiça do Estado de Minas Gerais (TJMG) |
Páginas | 417-419 |
Page 417
Contratos de Planos de saúde 417 RESOLUÇÃO NORMATIVA - RN Nº 196, DE 14 DE JULHO DE 2009
Dispõe sobre a Administradora de Benefícios.
A Diretoria Colegiada da Agência Nacional de Saúde Suplementar - ANS, no uso das atribuições que lhes são conferidas pelos artigos 4º, incisos X e XXII, e 10, inciso II, da Lei nº 9.961, de 28 de janeiro de 2000; e considerando o disposto no art. 64, inciso II, alínea "a", do Anexo I, da Resolução Normativa - RN nº 81, de 2 de setembro de 2004; no artigo 1º, §2º, da Lei nº 9.656, de 3 de junho de 1998, em reunião realizada em 1 de julho de 2009, adotou a seguinte Resolução Normativa e eu, Diretor-Presidente, determino a sua publicação:
Art. 1º Esta resolução dispõe sobre a Administradora de Benefícios. [1]
Art. 2º Considera-se Administradora de Benefícios a pessoa jurídica que propõe a contratação de plano coletivo na condição de estipulante ou que presta serviços para pessoas jurídicas contratantes de planos privados de assistência à saúde coletivos, desenvolvendo ao menos uma das seguintes atividades:
I - promover a reunião de pessoas jurídicas contratantes na forma do artigo 23 da RN nº 195, de 14 de julho de 2009.
II - contratar plano privado de assistência à saúde coletivo, na condição de estipulante, a ser disponibilizado para as pessoas jurídicas legitimadas para contratar;
III - oferecimento de planos para associados das pessoas jurídicas contratantes; IV - apoio técnico na discussão de aspectos operacionais, tais como:
-
negociação de reajuste;
-
aplicação de mecanismos de regulação pela operadora de plano de saúde; e
-
alteração de rede assistencial.
Parágrafo único. Além das atividades constantes do caput, a Administradora de Benefícios poderá desenvolver outras atividades, tais como:
I - apoio à área de recursos humanos na gestão de benefícios do plano;
II - terceirização de serviços administrativos;
III - movimentação cadastral;
IV - conferência de faturas;
V - cobrança ao beneficiário por delegação; e
VI - consultoria para prospectar o mercado, sugerir desenho de plano, modelo de gestão. Art. 3º A Administradora de Benefícios não poderá atuar como representante, mandatária ou prestadora de serviço da Operadora de Plano de Assistência à Saúde nem executar quaisquer atividades típicas da operação de planos privados de assistência à saúde.
Art. 4º A Administradora de Benefícios poderá figurar no contrato coletivo celebrado entre a Operadora de Plano Privado de Assistência à Saúde e a...
Para continuar a ler
PEÇA SUA AVALIAÇÃO- Contratos de Planos de Saúde
- Anexo. Legislações específicas sobre os Planos de Saúde
- Lei nº 9.656, de 3 de junho de 1998
- Resolução do Conselho de Saúde Suplementar - CONSU nº 06 de 3 de novembro de 1998
- Resolução do Conselho de Saúde Suplementar - CONSU nº 13 de 3 de novembro de 1998
- Resolução de Diretoria Colegiada - RDC nº 39, de 27 de outubro de 2000
- Resolução Normativa - RN nº 19, de 11 de dezembro de 2002
- Resolução Normativa - RN nº 63 de, 22 de dezembro de 2003
- Resolução Normativa - RN nº 124, de 30 de março de 2006
- Resolução Normativa - RN nº 162, de 17 de outubro de 2007
- Resolução Normativa - RN nº 171, de 29 de abril de 2008
- Resolução Normativa - RN nº 172, de 8 de julho de 2008
- Resolução Normativa - RN nº 186, de 14 de janeiro de 2009
- Resolução Normativa - RN nº 195, de 14 de julho de 2009
- Resolução Normativa - RN nº 196, de 14 de julho de 2009
- Resolução Normativa - RN nº 363, de 11 de dezembro de 2014
- Resolução Normativa - RN nº 387, de 28 de outubro de 2015
- Referências
- Índice Alfab ético Remissivo
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