Section 3 AAC 28.982 - Disclosure requirementsA health care insurer shall set out in, or attach to, a policy, certificate of coverage, membership booklet, or other evidence of coverage provided to a covered person a description of the external review procedures described under 3 AAC 28.950"3 AAC 28.982. The description must include
(1) a statement of the covered person's or the covered person's authorized representative's right to file a request for an external review of an adverse determination or final adverse determination with the director; the statement must include the division's current mailing address, electronic mail address, telephone number, and facsimile transmission number;(2) a statement informing the covered person that, when filing a request for an external review, the covered person will be required to authorize the release of medical records of the covered person that may be required to be reviewed for the purpose of reaching a decision on the external review;(3) a brief description, including timelines, of each type of external review process; and(4) a statement of the covered person or the covered person's authorized representative's right to provide additional information or otherwise participate in the external review process.Eff. 3/15/2018,Register 225, April 2018Authority:AS 21.06.090
AS 21.07.005