Iowa Admin. Code r. 191-39.45

Current through Register Vol. 47, No.14, January 8, 2025

Rule 191-39.45 - Notice of internal appeal decision and right to independent review

Upon the conclusion of the internal appeal mechanism specified in Iowa Code section 514G109(2)., the notice required in Iowa Code section 514G.110(2)"b" and "c" shall contain the following information:

(1) A description of additional internal appeal rights, if any, offered by the insurer.

(2) A description of how the insured can request independent review of the benefit trigger determination. Such description must specify the following:

a. The insured must submit a written request within 60 days of the insured's receiving written notice of the insurer's internal appeal decision;

b. The request must be made to the Iowa Insurance Division, Two Ruan Center, Fourth Floor, 601 Locust Street, Des Moines, Iowa 50309-3738;

c. A copy of the insurer's benefit trigger determination letter must accompany the written request for an independent review.

Iowa Admin. Code r. 191-39.45

ARC 8271B, lAB 11/4/09, effective 12/9/09

Amended by IAB March 14, 2018/Volume XL, Number 19, effective 4/18/2018