- (a) Each nonprofit health service plan that provides hospital benefits shall furnish a statement of the plan's principal claims practices as part of the certificate form or booklet describing the coverage to be afforded.
(b) The statement shall include practices for payment for:
- (1) surgical procedures performed by two or more surgeons;
- (2) services provided in-area by nonparticipating providers; and
- (3) services provided out-of-area by affiliated plans and affiliated providers.
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, § 354P.