Section 116 – Adverse benefit determination procedures.

• (1) If an insurer has established a complaint resolution body or grievance appeal board, the body or board shall include at least one consumer representative.

• (2) Adverse benefit determination procedures for health insurance policies and health maintenance organization contracts shall be established in accordance Sections 31A-22-629 and 31A-22-650.

Amended by Chapter 439, 2019 General Session