Advertising with us can place you in front of thousands of visitors a day. Learn more!
|
|
|
- Alaska Statutes.
- Title 21. Insurance
- Chapter 54. Health Insurance
- Section 50. Payment of Blanket Health Policy Benefits.
previous:
Section 40. Application and Certificates Not Required.
next:
Section 60. Group Health Insurance Defined.
AS 21.54.050. Payment of Blanket Health Policy Benefits.
- (a) All benefits under a blanket health insurance policy shall be paid to (1) the person insured; (2) the designated
beneficiary or beneficiaries of the person insured; (3) the estate of the person insured; (4) the parent, guardian, or
other person actually supporting the person insured, if the person insured is a minor or otherwise not competent to
give a valid release; or (5) the employer, if the entire cost of the insurance has been paid by the employer. An
insurer may, and upon written request of the covered person shall, within 30 working days after receiving a proof of
loss statement, pay benefits directly to the provider of the hospital, nursing, medical, dental, or surgical services.
The policy may not contain a provision requiring that services be provided by a particular hospital or person, except
as applicable to a health maintenance organization under AS 21.86. If the insurer pays indemnities to the insured after the
covered person has given the insurer written notice in the proof of loss statement of an election of direct payment of
indemnities to the provider of the service, the insurer shall also pay those indemnities to the provider of the
service.
- (b) A covered person may revoke an election of direct payment of benefits made under (a) of this section by giving written
notice of the revocation to the insurer and to the provider of the services. The written notice of revocation given to
the insurer must certify that the covered person has given written notice of revocation to the provider of the
services. Revocation of an election of direct payment is not effective until the notice of revocation is received by
the insurer and the provider of the services.
- (c) The right of the covered person to request payment of indemnities under a group health insurance policy directly to
the provider of the services or to another person may be transferred to a person who is not the covered person by a
qualified domestic relations order. Rights under the qualified domestic relations order do not take effect until the
order is received by the insurer. In this subsection, "qualified domestic relations order" means an order or judgment
in a divorce or dissolution action under AS 25.24 that designates
a person to determine to whom indemnities for a covered person should be paid under a health insurance policy.
- (d) This section does not prohibit an insurer from recovering an indemnity mistakenly paid to a provider or a covered
person.
All content © 2008 by Touch
N' Go/Bright Solutions, Inc.
Note to HTML Version:
This version of the Alaska Statutes is current through December, 2007. The Alaska Statutes were automatically converted to HTML from a plain text format. Every effort has been made to ensure their accuracy, but this can not be guaranteed. If it is critical that the precise terms of the Alaska Statutes be known, it is recommended that more formal sources be consulted. For statutes adopted after the effective date of these statutes, see, Alaska State Legislature
If any errors are found, please e-mail Touch N' Go systems at E-mail. We
hope you find this information useful.