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Rhode Island - 1st Party - Coordination of Benefits 230-RICR-20-30-2

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TitleRhode Island - 1st Party - Coordination of Benefits 230-RICR-20-30-2
SummaryTitle 230 - Chapter 20 (230- RICR-20-30-2) Health Insurance Coordination of Benefits + Insurance Bulletin Number 2018-8 - Coordination of Benefits Forms
StateRhode Island
Source Published Date8/28/2018
StatusAdopted
Content
Title 230 - Department of Business Regulation / Chapter 20 - Insurance / Subchapter 30 - Health Insurance / Part 2 - Coordination of Benefits (230-RICR-20-30-2) is adopted with an effective date of 8/25/2018.

The purpose of Part 2 is to:
  1. Establish a uniform order of benefit determination under which plans pay their claims;
  2. Reduce duplication of benefits by permitting a reduction of the benefits to be paid by plans that, pursuant to rules established by this part, do not have to pay their benefits first; and
  3. Provide greater efficiency in the procession of claims when a person is covered by more than one plan.
http://www.dbr.state.ri.us/documents/rules/insurance/230-RICR-20-30-2.pdf

Insurance Bulletin Number 2018-8 - Coordination of Benefits Forms - issued 8/28/2018

Bulletin 2018-8  provides the (Model COB Contract Provisions) that the DBR has prescribed to be used for compliance with 230-RICR-20-30-2.  The regulation sets forth the standards for coordination of insurance benefits in Rhode Island, specifically Bulletin 2018-8  defines the following:
  1. Definition of a PLAN
  2. Order of Benefit Determination Rules (Primary or Secondary, Dependents, COBRA, Allowable Expense)
  3. Effect on the Benefits of "This Plan"
  4. Rights to Receive and Release Needed Information
  5. Faculty of Payment
  6. Right of Recovery (payments  in excess of what should have been paid)
http://www.dbr.state.ri.us/documents/news/insurance/InsuranceBulletin2018-8.pdf
 
Line of businessAuto 1st Party
MiWiki Content TypeJurisdictional Updates
Service Types 
URL NameRhode-Island-1st-Party-Coordination-of-Benefits-230-RICR-20-30-2

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