1. (1) The office may grant an exemption or extension from reporting requirements in this rule under certain circumstances.

2. (2) The office may grant an exemption from a reporting requirement in this rule to an insurer when the insurer demonstrates that compliance imposes an unreasonable cost.

   1. (a)(i) An insurer may request an exemption from any particular requirement or set of requirements of this rule.

      1. (ii) The insurer must submit a request for exemption no less than 30 calendar days before the date the insurer would have to comply with the requirement.

   2. (b)(i) The office may grant an exemption for a maximum of one calendar year.

      1. (ii) An insurer wishing an additional exemption must submit an additional, separate request.

3. (3) The office may grant an extension from a reporting requirement in this rule to an insurer when the insurer demonstrates that technical or unforeseen difficulties prevent compliance.

   1. (a)(i) An insurer may request an extension for any deadline required in this rule.

      1. (ii) For each deadline for which the insurer requests an extension, the insurer must submit its request no less than seven calendar days before the deadline in question.

   2. (b)(i) The office may grant an extension for a maximum of 30 calendar days.

      1. (ii) An insurer wishing an additional extension must submit an additional, separate request.

4. (4) An insurer requesting an extension or exemption shall include:

   1. (a) the insurer's name, mailing address, telephone number, and contact person;
   2. (b) the dates the exemption or extension is to start and end;
   3. (c) a description of the relief sought, including reference to specific sections or language of the requirement;
   4. (d) a statement of facts, reasons, or legal authority in support of the request; and
   5. (e) a proposed alternative to the requirement or deadline.

KEY: health insurance claims reporting

Date of Last Change: October 22, 2024

Notice of Continuation: March 3, 2022

Authorizing, and Implemented or Interpreted Law: 31A-22-614.5(3)(a)