31A-22-624 - Primary care physician.
31A-22-624. Primary care physician.
An accident and health insurance policy that requires an insured to select a primary carephysician to receive optimum coverage:
(1) shall permit an insured to select a participating provider who:
(a) is an:
(i) obstetrician;
(ii) gynecologist; or
(iii) pediatrician; and
(b) is qualified and willing to provide primary care services, as defined by the health careplan, as the insured's provider from whom primary care services are received;
(2) shall clearly state in literature explaining the policy the option available to insuredsunder Subsection (1); and
(3) may not impose a higher premium, higher copayment requirement, or any otheradditional expense on an insured because the insured selected a primary care physician inaccordance with Subsection (1).
Amended by Chapter 308, 2002 General Session