Required written notice upon rejection of state-mandated health benefits
Arkansas Code § 23-61-108; Arkansas Code § 23-79-803; Arkansas Code § 23-79-805
(a)
- (1) Every organization that offers to its proposed insureds a health benefits plan that, either in whole or in part, does not have state-mandated health benefits, as defined in Arkansas Code § 23-79-802(2), shall provide to the policyholder and to each certificate holder of the plan a written notice that the health benefits plan, selected by the policyholder, does not contain all state-mandated benefits.
- (2) This written notice shall be provided no later than thirty (30) days after the certificate holder enrolls in the plan.
- (3) Such notice may be provided in a separate document, incorporated in the application, or provided in a certificate of coverage provided to the policyholder and each certificate holder.
(b) The notice shall:
- (1) List each state-mandated health benefit or service that is not provided in the health benefits plan or plans; and
- (2) Urge the policyholder and certificate holder to consult with his or her health insurance agent or the State Insurance Department Consumer Services Division or Legal Division about questions or concerns related to the nature of the state-mandated health benefit that is not offered in the health benefits plan.
- (c) It shall be the duty or obligation of the health insurer or agent to provide the required written notice under this section to each policyholder and certificate holder.