41-1847. ASSIGNMENT OF HEALTH INSURANCE CONTRACTS. (1) No insurer, as defined in section 41-5601, Idaho Code, shall assign the benefits of any contract with a practitioner or facility, as defined in section 41-5601, Idaho Code, that contains an agreement by the practitioner or facility to provide services to a patient covered by the insurer at a fee which is discounted from that practitioner’s or facility’s usual and customary fee, unless the contract between the insurer and the practitioner or facility, in conspicuous and plain language, specifically permits the contract to be assigned.
(2) An insurer shall send prompt written or electronic notice to the practitioner or facility, in conformance with the notice provisions of the contract between the insurer and the practitioner or facility, of each assignment it makes that is permitted by subsection (1) of this section. The notice shall identify the name and principal business address of each assignee.
(3) An assignment in violation of this section shall be void. The director shall enforce the provisions of this section and shall review and, if appropriate, investigate complaints received by the department related to noncompliance with the provisions of this section. If the director determines an insurer has violated the provisions of this section, the director may impose an administrative fine not to exceed five thousand dollars ($5,000) based upon an enforcement action. The director shall not suspend or revoke an insurer’s certificate of authority for violation of this section. This section shall not create a private cause of action by or on behalf of a beneficiary or practitioner or facility against an insurer.
History:
[41-1847, added 2008, ch. 139, sec. 1, p. 400.]
Structure Idaho Code
Chapter 18 - THE INSURANCE CONTRACT
Section 41-1801 - SCOPE OF CHAPTER.
Section 41-1802 - “POLICY” DEFINED.
Section 41-1803 - “PREMIUM” DEFINED.
Section 41-1804 - INSURABLE INTEREST — PERSONAL INSURANCE.
Section 41-1805 - LIFE INSURANCE FOR BENEFIT OF CERTAIN INSTITUTIONS.
Section 41-1806 - INSURABLE INTEREST — PROPERTY.
Section 41-1807 - POWER TO CONTRACT — PURCHASE OF INSURANCE BY MINORS.
Section 41-1808 - APPLICATION REQUIRED — LIFE AND DISABILITY INSURANCE.
Section 41-1809 - ALTERATION OF APPLICATION — LIFE AND DISABILITY INSURANCE.
Section 41-1810 - APPLICATION AS EVIDENCE.
Section 41-1811 - REPRESENTATIONS IN APPLICATIONS.
Section 41-1812 - FILING, USE AND DISAPPROVAL OF FORMS.
Section 41-1813 - GROUNDS FOR DISAPPROVAL.
Section 41-1814 - STANDARD PROVISIONS IN GENERAL.
Section 41-1815 - CONTENTS OF POLICIES IN GENERAL.
Section 41-1816 - ASSESSMENT POLICIES — SPECIAL CONTENTS.
Section 41-1817 - ADDITIONAL POLICY CONTENTS.
Section 41-1818 - CHARTER AND BY-LAW PROVISIONS.
Section 41-1819 - EXECUTION OF POLICIES.
Section 41-1820 - UNDERWRITERS’ AND COMBINATION POLICIES.
Section 41-1821 - VALIDITY AND CONSTRUCTION OF NONCOMPLYING FORMS.
Section 41-1822 - CONSTRUCTION OF POLICIES.
Section 41-1824 - DELIVERY OF POLICY.
Section 41-1825 - RENEWAL BY CERTIFICATE.
Section 41-1826 - ASSIGNMENT OF POLICIES.
Section 41-1827 - RIGHT TO INSPECT POLICIES IN FORCE.
Section 41-1828 - PAYMENT DISCHARGES INSURER — PAYMENT TO MARITAL COMMUNITY.
Section 41-1830 - NOTICE OF LAPSE OR TERMINATION OF INDIVIDUAL LIFE INSURANCE.
Section 41-1831 - FORMS FOR PROOF OF LOSS TO BE FURNISHED.
Section 41-1832 - CLAIMS ADMINISTRATION NOT WAIVER.
Section 41-1833 - EXEMPTION OF PROCEEDS — LIFE INSURANCE.
Section 41-1834 - EXEMPTION OF PROCEEDS — DISABILITY INSURANCE.
Section 41-1835 - EXEMPTION OF PROCEEDS — GROUP INSURANCE.
Section 41-1836 - EXEMPTION OF PROCEEDS — ANNUITY CONTRACTS — ASSIGNABILITY OF RIGHTS.
Section 41-1837 - RETURN OF UNEARNED PREMIUMS ON DESTRUCTION OF PROPERTY.
Section 41-1838 - VENUE OF SUITS AGAINST INSURERS.
Section 41-1839 - ALLOWANCE OF ATTORNEY’S FEES IN SUITS AGAINST OR IN ARBITRATION WITH INSURERS.
Section 41-1840 - PREPAYMENT OF CLAIMS.
Section 41-1841 - BLOCK CANCELLATIONS AND BLOCK NONRENEWALS — NOTICE TO DIRECTOR REQUIRED.
Section 41-1842 - COMMERCIAL INSURANCE — CANCELLATION — NONRENEWAL.
Section 41-1843 - INSURANCE RATES AND CREDIT RATING.
Section 41-1844 - PRESCRIPTION DRUG BENEFIT RESTRICTIONS PROHIBITED.
Section 41-1845 - RECREATIONAL-RELATED ACTIVITIES.
Section 41-1846 - HEALTH CARE POLICIES — APPLICABILITY — REQUIREMENT.
Section 41-1847 - ASSIGNMENT OF HEALTH INSURANCE CONTRACTS.
Section 41-1849 - CONTRACTS WITH PROVIDERS OF DENTAL SERVICES.
Section 41-1850 - CERTIFICATES OF INSURANCE.
Section 41-1851 - ELECTRONIC NOTICES AND DOCUMENTS.
Section 41-1852 - DISCRIMINATION AGAINST LIVING ORGAN DONORS PROHIBITED.