Delaware Administrative Code
Title 18 - Insurance
1400 - Health Insurance Specific Provisions
1406 - Third Party Administrators
Section 1406-10.0 - Notice to Covered Individuals; Disclosure of Charges and Fees
Current through Register Vol. 28, No. 3, September 1, 2024
10.1 When the services of an administrator are utilized, the administrator shall provide a written notice approved by the insurer to covered individuals advising them of the identity of, and relationship among, the administrator, the policyholder and the insurer.
10.2 When an administrator collects funds, the reason for collection of each item shall be identified to the insured party and each item shall be shown separately from any premium. Additional charges may not be made for services to the extent the services have been paid for by the insurer.
10.3 The administrator shall disclose to the insurer all charges, fees and commissions received from all services in connection with the provision of administrative services for the insurer, including any fees or commissions paid by insurers providing reinsurance.
