Bill Text: SC H3452 | 2015-2016 | 121st General Assembly | Introduced
Bill Title: Accident and health insurance payments
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2015-01-28 - Referred to Committee on Labor, Commerce and Industry [H3452 Detail]
Download: South_Carolina-2015-H3452-Introduced.html
A BILL
TO AMEND SECTION 38-71-10, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO COVERAGE THAT MAY BE WRITTEN BY A LICENSED ACCIDENT AND HEALTH INSURER, SO AS TO PROHIBIT THE INSURER FROM DIRECTLY PAYING MONEY TO AN INSURED FOR A HEALTH CARE SERVICE PROVIDED TO THE INSURED, AND TO PROVIDE EXCEPTIONS.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. Section 38-71-10 of the 1976 Code is amended to read:
"Section 38-71-10. (A) All A licensed accident and health insurers are entitled to insurer must:
(a)(1) issue and deliver a service benefit contracts contract to provide for prepayment of any a health care service and to make payment directly to the provider of the services service, in whole or in part, including, but not limited to, a professional services service, any institutional care, a personal services service, and supplies.; and
(b)(2) issue and deliver contracts a contract of indemnity or contracts a contract providing for payment of money directly to the insureds or for them on behalf of an insured for a health care services service provided to an insured.
(B) Notwithstanding another provision of law, a licensed accident and health insurer may not make a payment of money directly to an insured for a health care service received by the insured.
(C) The provisions of this section do not apply to:
(1) supplemental or secondary insurance coverage; or
(2) a person who documents to the insurer that he has fully paid the health care provider for the service rendered."
SECTION 2. This act takes effect upon approval by the Governor.
