Download This Version in Microsoft Word format
Indicates Matter Stricken
Indicates New Matter
COMMITTEE REPORT
May 5, 1999
H. 3928
S. Printed 5/5/99--H.
Read the first time April 15, 1999.
To whom was referred a Bill (H. 3928), to amend Section 38-33-50, as amended, Code of Laws of South Carolina, 1976, relating to the powers of health maintenance organizations, etc., respectfully
That they have duly and carefully considered the same, and recommend that the same do pass with amendment:
Amend the bill, as and if amended, page 1, by striking SECTION 1 and inserting:
/SECTION 1. Section 38-33-50(A) of the 1976 Code is amended by adding:
"(8) the offering of an out-of-network coverage under a point of service option; the Director of the Department of Insurance shall, by regulations and/or policy bulletin, implement the provisions of this item."/
Amend title to conform.
HARRY F. CATO, for Committee.
TO AMEND SECTION 38-33-50, AS AMENDED, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO THE POWERS OF HEALTH MAINTENANCE ORGANIZATIONS, SO AS TO PROVIDE THAT THOSE POWERS INCLUDE THE OFFERING OF AN OUT-OF NETWORK COVERAGE UNDER A POINT OF SERVICE OPTION, AND PROVIDE FOR THE PROMULGATION OF REGULATIONS; AND TO AMEND SECTION 38-33-80, AS AMENDED, RELATING TO THE PROVISION THAT EVERY ENROLLEE IN A HEALTH MAINTENANCE ORGANIZATION IS ENTITLED TO EVIDENCE OF COVERAGE, SO AS TO PROVIDE THAT FOR A POINT OF SERVICE OPTION OFFERED JOINTLY BY A HEALTH MAINTENANCE ORGANIZATION AND AN INSURER, ONLY ONE EVIDENCE OF COVERAGE IS REQUIRED.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. Section 38-33-50(A) of the 1976 Code is amended by adding:
"(8) the offering of an out-of-network coverage under a point of service option; the Director of the Department of Insurance may promulgate regulations necessary or appropriate to implement the provisions of this item."
SECTION 2. Section 38-33-80(A)(1) of the 1976 Code is amended to read:
"(1) Every enrollee is entitled to an evidence of coverage issued by the health maintenance organization. If any of the enrollee's benefits are provided through an insurance policy, the insurer shall issue a separate evidence of coverage for those benefits provided. However, for a point of service option offered jointly by a health maintenance organization and an insurer, only one evidence of coverage is required, as long as the benefits provided by each party are clearly identified therein."
SECTION 3. This act takes effect upon approval by the Governor.
This web page was last updated on
Friday, June 26, 2009 at 3:02 P.M.