Section 58-17C-81 - Report to director required--Contents of report.
58-17C-81. Report to director required--Contents of report. A health carrier shall submit to the director, at least annually, a report in the format specified by the director. The report shall include for each type of health benefit plan offered by the health carrier:
(1) The certificate of compliance required by § 58-17C-82;
(2) The number of covered lives;
(3) The total number of grievances;
(4) The number of grievances for which a covered person requested an additional voluntary grievance review pursuant to §§ 58-17C-92 to 58-17C-98, inclusive;
(5) The number of grievances resolved at each level, if applicable, and their resolution;
(6) The number of grievances appealed to the director of which the health carrier has been informed;
(7) The number of grievances referred to alternative dispute resolution procedures or resulting in litigation; and
(8) A synopsis of actions being taken to correct problems identified.
Source: SL 2003, ch 250, § 32.