Section 58-17C-16 - Sample contract forms to be filed with director--Material changes to besubmitted to director--Certain changes not material--Director's inactionwithin certain time deemed approv
58-17C-16. Sample contract forms to be filed with director--Material changes to be submitted to director--Certain changes not material--Director's inaction within certain time deemed approval--Contract copies to be provided director, department upon request. A health carrier shall file with the director sample contract forms proposed for use with its participating providers and intermediaries. A health carrier shall submit material changes to a sample contract that would affect a provision required by §§ 58-17C-7 to 58-17C-26, inclusive, or any rules promulgated pursuant to §§ 58-17C-7 to 58-17C-26, inclusive, to the director for approval thirty days prior to use. Changes in provider payment rates, coinsurance, copayments, or deductibles, or other plan benefit modifications are not considered material changes for the purpose of this section. If the director takes no action within thirty days after submission of a material change to a contract by a health carrier, the change is deemed approved. The health carrier shall maintain provider and intermediary contracts and provide copies to the division or department upon request.
Source: SL 1999, ch 245, § 11.