58-17I-5. Report to director required--Contents.
Each health carrier shall submit to the director, at least annually, a report in the format specified by the director. The report shall include for each type of health benefit plan offered by the health carrier:
(1)The certificate of compliance required by §58-17I-6;
(2)The number of covered lives;
(3)The total number of grievances;
(4)The number of grievances resolved at each level, if applicable, and their resolution;
(5)The number of grievances appealed to the director of which the health carrier has been informed;
(6)The number of grievances referred to alternative dispute resolution procedures or resulting in litigation; and
(7)A synopsis of actions being taken to correct problems identified. (SL 2012, ch 239, §1 provides: "The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.")
Source: SL 2011, ch 219, §77.