SB 290

Bill Subjects

Insurance Unfunded Mandates Hospital, Medical Or Dental Service, Nonprofit Corporations For Insurance Companies Health Maintenance Organizations Fraternal Benefit Societies Managed Care Organizations

Abstract

AN ACT relating to insurance; requiring a health carrier that issues a network plan to provide for the reimbursement of unanticipated out-of-network care that is provided by an out-of-network provider of health care; authorizing an out-of-network provider of health care to seek the recovery of the deductible, coinsurance or copayment from a covered person for such care; requiring an out-of-network provider of health care who receives reimbursement in the amount specified to accept the reimbursement as payment in full; providing that any provision of a network plan which conflicts with such requirements for reimbursement is void; requiring a health carrier to ensure that each network plan of the health carrier includes certain information; and providing other matters properly relating thereto.