Nebraska Administrative Code
Topic - INSURANCE, DEPARTMENT OF
Title 210 - NEBRASKA DEPARTMENT OF INSURANCE
Chapter 87 - HEALTH CARRIER EXTERNAL REVIEW
Section 210-87-007 - Description of External Review Procedures

Universal Citation: 210 NE Admin Rules and Regs ch 87 ยง 007

Current through September 17, 2024

007.01 Each health carrier shall include a description of the external review procedures in or attached to all health coverage plan materials dealing with the carrier's grievance procedures including but not limited to the policy, certificate, membership booklet, outline of coverage or other evidence of coverage it provides to covered persons as required by Neb. Rev. Stat. § 44-1317.

007.02 The description required under subsection 007.01 shall include a notification of the availability of an external review process, the circumstances under which a covered person may use the external review process, the procedures for requesting an external review, and the timelines associated with an external review. The description shall appear in 10 point font.

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