Chapter 12 - Insurance Claims And Benefits

Chapter 12 - Insurance Claims And Benefits

§ 58-12-1 Forms for proof of loss--Furnishing by insurer on request.
§ 58-12-2 Acts of insurer not constituting waiver of policy provision or defense.
§ 58-12-3 Attorney fees--Recovery in action against self-insured employer or insurer failing to pay loss--Other remedies not barred.
§ 58-12-3.1 Separate hearing on attorney fees--Adding to judgment--Time allowed to request hearing.
§ 58-12-4 Life and health insurance--Exemption of benefits and proceeds from execution.
§ 58-12-5 Annuity contract defined.
§ 58-12-6 Exemption of annuity contract benefits, rights, privileges, and options from execution.
§ 58-12-7 Premiums paid on annuity with intent to defraud creditors not exempt from execution.
§ 58-12-8 Maximum amount of annuity exemption--Excess subject to levy.
§ 58-12-9 Application of excess annuities to judgment--Factors considered.
§ 58-12-10 Benefits, rights, privileges, or options nontransferable under annuity contract--Not subject to commutation--Exemption from execution.
§ 58-12-11 Payments under life or health insurance policy or annuity contract discharge insurer.
§ 58-12-12 Use of uniform health insurance claim forms.
§ 58-12-13 Use of claim forms required by federal law excepted.
§ 58-12-14 Promulgation of rules for uniform health insurance claim forms.
§ 58-12-15 Paintless dent repair defined.
§ 58-12-16 Motor vehicle insurer must provide sufficient compensation to restore vehicle to prior condition--Adjustment for paintless dent repair permitted--Conditions.
§ 58-12-17 Compensation when paintless dent repair method inappropriate--Requiring unreasonable travel prohibited--Repair shop as payee only if insured agrees.
§ 58-12-18 Compliance with § 58-12-16.
§ 58-12-19 Clean claim defined.
§ 58-12-20 Time limits for processing clean claims--Time limit for additional information required.
§ 58-12-21 Applicability of §§ 58-12-19 to 58-12-21--Certain policies exempt--No private right of action.
§ 58-12-22 Transmission of information from insurer's database to Department of Social Services--Data match against medicaid eligible recipients or recipients of support services--Disclosure--Liability.
§ 58-12-23 Application for or acceptance of medical assistance paid by department operates as release of information to facilitate coordination of benefits--Request.
§ 58-12-24 Refusal of reimbursement due to manner, form, or date of claim prohibited--Time for submission of claim.
§ 58-12-25 Reimbursement to department for cost of services.
§ 58-12-26 Insurer defined.
§ 58-12-27 Department defined.
§ 58-12-28 Provisions of chapter 1-27 not applicable to insurer records.
§ 58-12-29 Repealed.
§ 58-12-30 Annual reports of commercial property casualty insurance claims--Exception--Promulgation of rules.
§ 58-12-31 Definitions regarding standards for claims processing.
§ 58-12-32 Application of standards for claims investigation and disposition.
§ 58-12-33 Flagrant or frequent violations--Notice and opportunity to correct inadvertent violations.
§ 58-12-34 Acts constituting unfair claims practices.
§ 58-12-35 Notice of hearing.
§ 58-12-36 Cease and desist order--Monetary penalty--Suspension or revocation of license.
§ 58-12-37 Promulgation of rules regarding definitions and records.

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