Chapter 432E
28 sections
§432E-1 Definitions for health insurance review rules
§432E-1.4 When health plans must cover medical care
§432E-1.5 Managed care plan medical director must be licensed
§432E-2 This law wins when it gives you more protection
§432E-4 Your right to know about treatment choices
§432E-5 Health Plan Complaint and Appeal Rules
§432E-6.5 Fast appeals for urgent health care decisions
§432E-7 What your health plan must tell you
§432E-8 Only the insurance commissioner can enforce managed care rules
§432E-9 How health plans review care quality and use
§432E-10 How health plans must measure and report quality
§432E-11 How managed care plans are checked and accredited
§432E-12 State insurance official must make rules for this law
§432E-13 Annual report on external review cases
§432E-31 Which health plans this law covers
§432E-32 Notice of right to external review
§432E-33 How to ask for an outside review of a health plan decision
§432E-34 How to request an outside review of a health plan denial
§432E-35 Fast-track review of denied health care claims
§432E-36 How to request an outside review of a denied experimental treatment
§432E-37 External review decisions are final
§432E-38 Approval of Independent Review Organizations
§432E-39 Rules for independent review organizations to be approved
§432E-40 Independent review organizations are protected from lawsuits
§432E-41 External review reporting requirements
§432E-42 Who pays for an external review
§432E-43 Health plan must tell members how to appeal a denied service
§432E-44 Insurance commissioner must make rules for external review