Relating to external review by independent review organization of adverse benefit determination by health insurer; declaring an emergency.
Catchline/Summary:
Requires Director of Department of Consumer and Business Services to impose minimum civil penalty on insurer that does not comply with independent review organization's reversal of adverse benefit determination.Requires Department of Consumer and Business Services to provide complaint process for challenging actions or credentials of independent review organization and to enforce requirements for external reviews. Allows department to reassign adverse benefit determination dispute to another independent review organization if department finds that independent review organization has failed to follow legal requirements.] Requires Director of Department of Consumer and Business Services to impose minimum civil penalty on insurer that does not comply with independent review organization's reversal of adverse benefit determination. Applies to contracts entered into on or after effective date of Act.]
Declares emergency, effective on passage.
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SB 416 Senate Committee On Rules
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