Section 107.5 – Penalty for failure of a regulated health insurance entity to fulfill duties related to state claims for Medicaid payment or recovery.

• (1) For purposes of this section, “regulated health insurance entity” means a health insurance entity, as defined in Section 26-19-102, that is subject to regulation by the department.

• (2) If a regulated health insurance entity fails to comply with the provisions of Section 26-19-301:
  • (a) the commissioner may revoke or suspend, in whole or in part, a license, certificate of authority, registration, or other authority that is granted by the commissioner to the regulated health insurance entity; and
  • (b) the regulated health insurance entity is subject to the penalties and procedures provided for in Section 31A-2-308.

Amended by Chapter 443, 2018 General Session