31A-4-116. Adverse benefit determination procedures.
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Effective 1/1/2020
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 Sections 31A-22-629 and 31A-22-650 .
Amended by Chapter 439 , 2019 General Session