- (1) The purpose of this rule is to ensure that a carrier's grievance review procedure for an individual and a group health insurance and disability income insurance plan complies with 29 CFR 2560.503-1, and Sections 31A-4-116 and 31A-22-629.
(2) This rule applies to individual and group:
- (a) health insurance;
- (b) disability income insurance; and
- (c) health maintenance organization contracts.
- (3) Long-term care insurance and Medicare supplement insurance are not considered health insurance under this rule.
- (4) A disability income insurance policy is exempt from Section R590-203-5.
- (5) This rule does not apply to a health benefit plan that complies with Rule R590-261.
KEY: insurance
Date of Last Change: October 29, 2025
Notice of Continuation: March 31, 2022
Authorizing, and Implemented or Interpreted Law: 31A-2-201; 31A-2-203; 31A-4-116; 31A-22-629