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2013 SESSION

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HB 1655 Motor vehicle insurance; assignment of medical expense benefits to assignor's health care provider.

Introduced by: Terry G. Kilgore | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED HOUSE: (all summaries)

Motor vehicle insurance; assignment of medical expense benefits. Establishes requirements for assigning motor vehicle insurance medical expense benefits to the assignor's health care provider. In order for an assignment to be valid, a copy of the executed assignment of benefits form shall be provided to the motor vehicle insurer. The assignment form is required to include, among other things, statements that the person may want to consult his insurance agent or attorney before signing the form and that he is not required to execute the form to receive care. The assignor is required to receive notice of the effect of the assignment. Subject to certain exceptions, upon receipt of a copy of a valid assignment form, the motor vehicle insurer shall pay directly to the health care provider, from any medical expense benefits available to such person under a motor vehicle insurance policy, any copayments, coinsurance, or deductibles owed by the injured covered person to the health care provider if the covered injured person is covered under a health care policy, the health care provider is an in-network provider, and the health care provider has submitted its claim to the health insurer for the health care services. If the covered injured person is not covered under a health care policy or the health care provider is not an in-network provider, the motor vehicle insurer shall pay directly to the health care provider, from such available benefits, amounts to cover the cost of the health care services provided, in the amount of the usual and customary fee charged in that community for the health care services rendered. A motor vehicle insurer shall be held harmless for making payments to a health care provider pursuant to a valid assignment of benefits.


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