West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-58 - External Review Of Coverage Denials
Section 114-58-11 - Liability of External Review Organizations
Universal Citation: 114 WV Code of State Rules 114-58-11
Current through Register Vol. XLI, No. 38, September 20, 2024
11.1. Neither the external review organization nor any person who participates in an external review by investigating, reviewing materials, providing technical expertise or rendering a decision shall be civilly liable for any action that is taken in good faith, that is within the scope of the organization's or person's duties, and that doe not constitute wilful or reckless misconduct.
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