Substitute for Raised H.B. No. 5235 Session Year 2010
AN ACT REQUIRING THE PROVIDING OF CERTAIN INFORMATION UPON CERTAIN DENIALS OF HEALTH INSURANCE COVERAGE.
To require insurers and other entities, in the event of a denial based on the reason that the requested service is not a covered benefit, to mail to an insured a copy of the applicable provision of the policy or certificate governing such decision, and to include in such mailing a notice with the contact information of the Insurance Department and the Office of the Healthcare Advocate.