Obligations of reimbursement insurance companies.

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(1) Insurers issuing reimbursement insurance policies to providers are deemed to have received the premiums for this insurance upon the payment of provider fees by consumers for service contracts issued by the insured providers.

  1. If the provider does not provide covered service within sixty days after proof of lossby the service contract holder, the contract holder may apply directly to the reimbursement insurance company.

  2. This part 16 does not prevent or limit the right of a reimbursement insurance company that issued a reimbursement insurance policy to seek indemnification or subrogation against a provider if the reimbursement insurance company pays or is obligated to pay the service contract holder sums that the provider was obligated to pay pursuant to the provisions of the service contract.

  3. An insurer that issued a reimbursement insurance policy to a provider shall not terminate the policy until a notice of termination has been mailed or delivered to the insured provider as required by applicable law with a copy of the notice provided to the commissioner. The termination of a reimbursement insurance policy does not reduce the issuer's responsibility for service contracts issued by providers prior to the date of the termination.

Source: L. 2014: Entire part added, (HB 14-1199), ch. 204, p. 746, § 2, effective January 1, 2015.


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