2006 Minnesota Statutes

62Q.71 NOTICE TO ENROLLEES.
Each health plan company shall provide to enrollees a clear and concise description of
its complaint resolution procedure, if applicable under section 62Q.68, subdivision 1, and the
procedure used for utilization review as defined under chapter 62M as part of the member
handbook, subscriber contract, or certificate of coverage. If the health plan company does not
issue a member handbook, the health plan company may provide the description in another
written document. The description must specifically inform enrollees:
(1) how to submit a complaint to the health plan company;
(2) if the health plan includes utilization review requirements, how to notify the utilization
review organization in a timely manner and how to obtain certification for health care services;
(3) how to request an appeal either through the procedures described in sections 62Q.69 and
62Q.70 or through the procedures described in chapter 62M;
(4) of the right to file a complaint with either the commissioner of health or commerce at any
time during the complaint and appeal process;
(5) of the toll-free telephone number of the appropriate commissioner; and
(6) of the right to obtain an external review under section 62Q.73 and a description of
when and how that right may be exercised.
History: 1999 c 239 s 37; 2003 c 2 art 1 s 8