South Carolina General Assembly
121st Session, 2015-2016

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H. 3452

STATUS INFORMATION

General Bill
Sponsors: Reps. Allison and Long
Document Path: l:\council\bills\agm\18304ab15.docx

Introduced in the House on January 28, 2015
Currently residing in the House Committee on Labor, Commerce and Industry

Summary: Accident and health insurance payments

HISTORY OF LEGISLATIVE ACTIONS 

     Date      Body   Action Description with journal page number
-------------------------------------------------------------------------------
   1/28/2015  House   Introduced and read first time (House Journal-page 17)
   1/28/2015  House   Referred to Committee on Labor, Commerce and Industry 
                        (House Journal-page 17)

View the latest legislative information at the website

VERSIONS OF THIS BILL

1/28/2015

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

A BILL

TO AMEND SECTION 38-71-10, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO COVERAGE THAT MAY BE WRITTEN BY A LICENSED ACCIDENT AND HEALTH INSURER, SO AS TO PROHIBIT THE INSURER FROM DIRECTLY PAYING MONEY TO AN INSURED FOR A HEALTH CARE SERVICE PROVIDED TO THE INSURED, AND TO PROVIDE EXCEPTIONS.

Be it enacted by the General Assembly of the State of South Carolina:

SECTION    1.    Section 38-71-10 of the 1976 Code is amended to read:

"Section 38-71-10.    (A)    All A licensed accident and health insurers are entitled to insurer must:

(a)(1)    issue and deliver a service benefit contracts contract to provide for prepayment of any a health care service and to make payment directly to the provider of the services service, in whole or in part, including, but not limited to, a professional services service, any institutional care, a personal services service, and supplies.; and

(b)(2)    issue and deliver contracts a contract of indemnity or contracts a contract providing for payment of money directly to the insureds or for them on behalf of an insured for a health care services service provided to an insured.

(B)    Notwithstanding another provision of law, a licensed accident and health insurer may not make a payment of money directly to an insured for a health care service received by the insured.

(C)    The provisions of this section do not apply to:

(1)    supplemental or secondary insurance coverage; or

(2)    a person who documents to the insurer that he has fully paid the health care provider for the service rendered."

SECTION    2.    This act takes effect upon approval by the Governor.

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This web page was last updated on January 30, 2015 at 10:49 AM