Current with changes from the 2024 Legislative Session
Section 14-104 - Statement of principal claims practices(a) Each nonprofit health service plan that provides hospital benefits shall furnish a statement of the plan's principal claims practices as part of the certificate form or booklet describing the coverage to be afforded.(b) The statement shall include practices for payment for: (1) surgical procedures performed by two or more surgeons;(2) services provided in-area by nonparticipating providers; and(3) services provided out-of-area by affiliated plans and affiliated providers.