31A-8a-206.   Provider agreements -- Record keeping.
     (1) A health discount program operator may not place any restrictions on an enrollee's access to health care providers such as waiting periods or notification periods.
     (2) A health discount program operator may not reimburse health care providers for services rendered to an enrollee, unless the health discount program operator is a licensed third party administrator.
     (3) (a) A health discount program operator must have a written agreement with a health care provider who agrees to provide discounts to health discount program enrollees.
     (b) If the written agreement is with a provider network, the health discount plan must require the provider network to have written agreements with each of its health care providers.
     (4) The health discount program operator shall maintain a copy of each active health care provider agreement.

Enacted by Chapter 58, 2005 General Session
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Last revised: Thursday, May 28, 2009