760 Ind. Admin. Code 1-38.1-1

Current through December 12, 2024

Section 760 IAC 1-38.1-1 - Purpose; applicability

Authority: IC 27-1-3-7

Affected: IC 27-8-5-19

Sec. 1.

The purpose of this rule is to:

(1) permit, but not require, plans to include a coordination of benefits provision;

(2) establish an order in which plans pay their claims;

(3) provide the authority for the orderly transfer of information needed to pay claims promptly;

(4) reduce duplication of benefits by permitting a reduction of the benefits paid by a plan when the plan, pursuant to these rules, does not have to pay its benefits first;

(5) reduce claims payment delays; and

(6) make all contracts that contain a coordination of benefits provision consistent with this rule.

760 IAC 1-38.1-1

Department of Insurance; 760 IAC 1-38.1-1; filed Feb 14, 1990, 3:30 p.m.: 13 IR 1169; readopted filed Sep 14, 2001, 12:22 p.m.: 25 IR 531; readopted filed Nov 27, 2007, 4:01 p.m.: 20071226-IR-760070717RFA; readopted filed Nov 21, 2012, 4:15 p.m.: 20121219-IR-760120454RFA

Readopted filed Nov 13, 2018, 10:02 a.m.: 20181212-IR-760180372RFA

Readopted filed 10/31/2024, 3:52 p.m.: 20241127-IR-760230814RFA