US Laws, Codes, Statutes & Cases

     62C.16 Service agreements. 

    Subdivision 1.    Agreements with authorized providers.  Service 
 plan corporations, as agents for 
 providers, may enter into service agreements only with providers 
 authorized to practice their profession or conduct their 
 business in this state or the state or foreign country in which 
 the provider is located.  

    Subd. 2.    Enforcement.  A service plan corporation shall 
 enforce its 
 service agreements, including agreements of providers to accept 
 payment from the corporation as compensation for health service 
 rendered or provided to subscribers who have prepaid for the 
 health service.  Provisions for review, by participating 
 providers, of claims shall be a part of each service agreement.  

    Subd. 3.    Filing.  Each type of service agreement shall be 
 filed 
 with the commissioner, prior to its use and those in effect on 
 August 1, 1971, shall be filed within 60 days thereof.  

    Subd. 4.    Retaliatory action prohibited.  No service 
 plan corporation may take retaliatory action against a provider 
 solely on the grounds that the provider disseminated accurate 
 information regarding coverage of benefits or accurate benefit 
 limitations of a subscriber's contract or accurate 
 interpretations of the provider agreement that limit the 
 prescribing, providing, or ordering of care. 

    HIST: 1971 c 568 s 16; 1993 c 345 art 5 s 5 

Copyright 2005 by the Office of Revisor of Statutes, State of Minnesota.