Policy forms - explanation of benefits - standardization of forms - rules

10-16-137. Policy forms - explanation of benefits - standardization of forms - rules. (1) The commissioner shall convene a group of stakeholders, including carriers, providers, and consumers, to develop a standardized format for the following regarding health benefit plans, limited benefit health insurance, and dental plans: (a) Section names and the placement of those sections in the policy forms issued by all carriers; and (b) The required information for carriers to provide on an explanation of benefits form sent to covered persons or providers making a claim for benefits under a health benefit plan, limited benefit health insurance, or dental plan. (2) The commissioner shall adopt rules after considering the input from carriers, providers, consumers, and other stakeholders in developing the standardized format for policy forms and explanation of benefits forms. The rules shall apply to health benefit plans, limited benefit health insurance, and dental plans issued or delivered on or after January 1, 2012. Source: L. 2010: Entire section added, (HB 10-1004), ch. 141, p. 477, � 1, effective August 11.