Title 31A Chapter 4 Section 116

Insurance Code
Insurers in General
Section 116
Adverse benefit determination procedures.


31A-4-116.   Adverse benefit determination procedures.

            (1) If an insurer has established a complaint resolution body or grievance appeal board, the body or board shall include at least one consumer representative.

            (2) Adverse benefit determination procedures for health insurance policies and health maintenance organization contracts shall be established in accordance Section 31A-22-629.

Amended by Chapter 308, 2002 General Session