HF 797

as introduced - 87th Legislature (2011 - 2012) Posted on 03/03/2011 10:44am

A bill for an act
relating to insurance; requiring that health plans that include out-of-network
coverage permit assignment of benefits; proposing coding for new law in
Minnesota Statutes, chapter 62Q.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

new text begin [62Q.511] POINT-OF-SERVICE OPTION; ASSIGNMENT OF
BENEFITS.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the terms defined in
this subdivision have the meanings given.
new text end

new text begin (b) "Point-of-service option" has the meaning given in section 62Q.51, subdivision 1.
new text end

new text begin (c) "Assignment of benefits" means a provision in a health plan that permits the
insured or other covered person to assign to a health care provider the right to submit
a claim to the health plan company for payment, subject to any applicable enrollee
cost-sharing.
new text end

new text begin Subd. 2. new text end

new text begin Assignment of benefits required; certain health plans. new text end

new text begin A health plan
that provides coverage for care received outside of the health plan's provider network
must permit enrollees to assign benefits to the out-of-network provider that provided
the out-of-network care.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for health plans offered, issued,
or renewed on or after January 1, 2012.
new text end