Section 14-104 - Statement of principal claims practices.
§ 14-104. Statement of principal claims practices.
(a) Required.- 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) Contents.- 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.
[An. Code 1957, art. 48A, § 354P; 1997, ch. 35, § 2.]