1. (1) An insurer who requires preauthorization or preapproval for coverage under accident and health insurance shall, beginning January 1, 2011, provide an enrollee with a statement of preauthorization if:

   1. (a) the applicable CPT codes have been submitted to the insurer to determine whether a particular procedure is covered under the terms of the accident and health insurance policy;
   2. (b) the enrollee has met the requirements for preauthorization of the procedure or encounter; and
   3. (c) the enrollee requests a statement of preauthorization.

2. (2) A statement of preauthorization under Subsection (1) may be sent:

   1. (a) by mail; or
   2. (b) electronically.

3. (3) A statement of preauthorization shall include a statement that the preauthorization is:

   1. (a) not a guarantee of payment by an insurer; and
   2. (b) subject to the policy and contract provisions of the accident and health insurance contract.

Enacted by Chapter 204, 2010 General Session