As Amended by House Committee
         
Session of 2000
         
Substitute for SENATE BILL No. 600
         
By Senator Brownlee
         
3-10
         

10             AN  ACT concerning insurance; relating to standards for prompt, fair and
11             equitable settlement of health care claims and payment for health care
12             services; establishing an unfair trade practices act violation.
13      
14       Be it enacted by the Legislature of the State of Kansas:
15             Section  1. This act shall apply to any policy of accident and sickness
16       insurance issued or renewed in this state.
17             Sec.  2. (a) The term ``clean claim'' means a claim that has no defect
18       or impropriety, including any lack of required substantiating documen-
19       tation, or particular circumstance requiring special treatment that pre-
20       vents timely payment from being made on the claim under this act.
21             (b) The term ``claim'' means a written proof of loss as defined in
22       paragraph (7) of subsection (A) of K.S.A. 40-2203, and amendments
23       thereto, or an electronic proof of loss which contains the information
24       required by paragraph (7) of subsection (A) of K.S.A. 40-2203, and
25       amendments thereto.
26             (c) The term ``policy of accident and sickness insurance'' means any
27       policy or contract insuring against loss resulting from sickness or bodily
28       injury or death by accident, or both, any hospital or medical expense
29       policy, health, hospital, medical service corporation contract issued by a
30       stock or mutual company or association, a health maintenance organiza-
31       tion or any other insurer, third party administrator or other entity which
32       pays claims pursuant to a policy of accident and sickness insurance. The
33       term policy of accident and sickness insurance does not include any policy
34       or contract of reinsurance, life insurance, endowment or annuity contract,
35       policies or certificates covering only credit, disability income, long-term
36       care, medicare supplement, dental, drug, or vision-care only policy, cov-
37       erage issued as a supplement to liability insurance, insurance arising out
38       of a workers compensation or similar law, automobile medical-payment
39       insurance or insurance under which benefits are payable without regard
40       to fault and which is statutorily required to be contained in any liability
41       insurance policy or equivalent self-insurance.
42             Sec.  3. (a) Within 30 days after receipt of any claim, and amendments
43       thereto, any insurer issuing a policy of accident and sickness insurance


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  1       shall pay a clean claim for reimbursement in accordance with this section
  2       or send a written or electronic notice acknowledging receipt of and the
  3       status of the claim. Such notice shall include the date such claim was
  4       received by the insurer and state that:
  5             (1) The insurer refuses to reimburse all or part of the claim and spec-
  6       ify each reason for denial; or
  7             (2) additional information is necessary to determine if all or any part
  8       of the claim will be reimbursed and what specific additional information
  9       is necessary.
10             (b) If any insurer issuing a policy of accident and sickness insurance
11       fails to comply with subsection (a), such insurer shall pay interest at the
12       rate of 1.5% 1% per month on the amount of the claim that remains
13       unpaid 30 days after the receipt of the claim. The interest paid pursuant
14       to this subsection shall be included in any late reimbursement without
15       requiring the person who filed the original claim to make any additional
16       claim for such interest.
17             (c) After receiving a request for additional information, the person
18       claiming reimbursement shall submit all additional information requested
19       by the insurer within 30 days after receipt of the request for additional
20       information. Failure to furnish such additional information within the
21       time required shall not invalidate nor reduce the claim if it was not rea-
22       sonably possible to give such information within such time, provided such
23       proof is furnished as soon as possible as defined (within the time pre-
24       scribed) in paragraph (7) of subsection (A) of K.S.A. 40-2203, and amend-
25       ments thereto.
26             (d) Within 15 days after receipt of all the requested additional infor-
27       mation, an insurer issuing a policy of accident and sickness insurance shall
28       pay a clean claim in accordance with this section or send a written or
29       electronic notice that states:
30             (1) Such insurer refuses to reimburse all or part of the claim; and
31             (2) specifies each reason for denial.Any insurer issuing a policy of
32       accident and sickness insurance that fails to comply with this subsection
33       shall pay interest on any amount of the claim that remains unpaid at the
34       rate of 1.5% 1% per month.
35             (e) The provisions of subsection (b) shall not apply when there is a
36       good faith dispute about the legitimacy of the claim, or when there is a
37       reasonable basis supported by specific information that such claim was
38       submitted fraudulently.
39             (f) Any violation of this act by an insurer issuing a policy of accident
40       and sickness insurance with flagrant and conscious disregard of the pro-
41       visions of this act or with such frequency as to constitute a general busi-
42       ness practice shall be considered a violation of the unfair trade practices
43       act in K.S.A. 40-2401 et seq. and amendments thereto.


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  1             (g) The commissioner of insurance shall adopt rules and regulations
  2       necessary to carry out the provisions of this act.
  3        Sec.  4. This act shall take effect and be in force from and after Jan-
  4       uary 1, 2001, and its publication in the statute book.