18 Del. Admin. Code § 1307-2.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 1307-2.0 - Purpose and Applicability

2.1 The purposes of this regulation are to:

2.1.1 Permit, but not require, plans to include a coordination of benefits ("COB") provision;

2.1.2 Establish an order in which plans pay their claims;

2.1.3 Provide the authority for the orderly transfer of information needed to pay claims promptly;

2.1.4 Reduce duplication of benefits by permitting a reduction of the benefits paid by a plan when the plan, pursuant to rules established by this regulation, does not have to pay its benefits first;

2.1.5 Reduce claims payment delays; and

2.1.6 Make all contracts that contain a COB provision consistent with this regulation.

2.2 The purpose of this Regulation is to encourage coordination of benefits, and is not intended to limit in any way the right to coordinate benefits which provide health coverage.

18 Del. Admin. Code § 1307-2.0

10 DE Reg. 1828 (06/01/07)