Section 376.446

Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS

Chapter 376

Effective - 28 Aug 2011   

  376.446.  Enrollee cost-sharing responsibilities, health carriers to provide timely information — exceptions. — 1.  Health carriers shall permit individuals to learn the amount of cost-sharing, including deductibles, copayments, and coinsurance, under the individual's health benefit plan or coverage that the individual would be responsible for paying with respect to the furnishing of a specific item or service by a participating provider in a timely manner upon the request of the individual.  At a minimum, such information shall be made available to such individual through an internet website and such other means for individuals without access to the internet.  As used in this section, the terms "health carrier" and "health benefit plans" shall have the same meanings assigned to them in section 376.1350.

  2.  This section shall not apply to a supplemental insurance policy, including a life care contract, accident-only policy, specified disease policy, hospital policy providing a fixed daily benefit only, Medicare supplement policy, long-term care policy, hospitalization-surgical care policy, short-term major medical policy of six months or less duration, or any other supplemental policy.

  3.  The provisions of subsections 1 and 2 shall become effective on January 1, 2014.

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(L. 2011 S.B. 62 § 376.1190, subsecs. 1, 2, 4)

CROSS REFERENCE:

Nonseverability clause, 190.840