191—39.45(514G) Notice of internal appeal decision and right to independent review. Upon the conclusion of the internal appeal mechanism specified in Iowa Code section 514G.109(2), the notice required in Iowa Code section 514G.110(2)“b” and “c” shall contain the following information:
	39.45(1) A description of additional internal appeal rights, if any, offered by the insurer.
	39.45(2) A description of how the insured can request independent review of the benefit trigger determination. Such description must specify the following:
	a. 	The insured must submit a written request within 60 days of the insured’s receiving written notice of the insurer’s internal appeal decision;
	b. 	The request must be made to the Iowa Insurance Division, 1963 Bell Avenue, Suite 100, Des Moines, Iowa 50315;
	c. 	A copy of the insurer’s benefit trigger determination letter must accompany the written request for an independent review.
[ARC 8271B, IAB 11/4/09, effective 12/9/09; ARC 3683C, IAB 3/14/18, effective 4/18/18; Editorial change: IAC Supplement 9/23/20]