Current through 2025-03, January 15, 2025
Section 031-790-3 - Information SharingA.General. A carrier whose plan contains a coordination of benefits or COB provision may require covered persons to disclose whether they are covered by other plans and to provide sufficient information to determine which plan is primary. A secondary plan may require a covered person to claim benefits under the primary plan as a condition of coverage under the secondary plan.B.Streamlined Benefit Administration. Carriers are encouraged to develop procedures for coordinating claims processing when claimants are insured by multiple plans and reimbursement from another carrier is known to be available.C.Information Sharing. Each carrier shall provide to any other carrier with which it seeks to coordinate benefits, to any carrier which seeks information to determine whether it has a right to coordinate benefits with it, any information it acquires that the other carrier needs or may consider relevant to determining priority of payment. Relevant information includes, but is not limited to, the identity of other carriers and plans and the identity of a claimant's custodial parent. Such information must be provided promptly after receiving a request to provide information to the other carrier and receiving complete information from the claimant.D.Suspension of filing deadlines. Submission of a timely claim to one carrier when there is multiple coverage shall suspend all other applicable filing deadlines for a minimum of 120 days after that carrier has adjudicated the claim, as long as the claimant provides all information requested by all carriers within a reasonable time after the request.02-031 C.M.R. ch. 790, § 3