H.F. 2430 Section 1. NEW SECTION . 507B.4D Prompt payment of claims 1 and right of subrogation. 2 1. As used in this section, unless the context otherwise 3 requires: 4 a. “Covered person” means the same as defined in section 5 514J.102. 6 b. “Health benefit plan” means the same as defined in 7 section 514J.102. 8 c. “Health care provider” means the same as defined in 9 section 514J.102. 10 d. “Health care services” means the same as defined in 11 section 514J.102. 12 2. If a covered person injured by reason of an accident 13 provides proof of insurance coverage under a health benefit 14 plan for health care services received from a health care 15 provider, a health care provider shall submit all charges to 16 the covered person’s health benefit plan. The covered person’s 17 health benefit plan shall not deny payment for health care 18 services the covered person received on the basis that a third 19 party or other insurance carrier is responsible for the covered 20 person’s injuries. This section shall not be construed to 21 prohibit a health benefit plan from seeking subrogation or 22 indemnification for third-party liability. 23 EXPLANATION 24 The inclusion of this explanation does not constitute agreement with 25 the explanation’s substance by the members of the general assembly. 26 This bill relates to health insurance coverage and 27 subrogation and indemnification. Under the bill, a health care 28 provider shall submit all charges for health care services to 29 an injured covered person’s health benefit plan, and the health 30 benefit plan shall not deny payment on the basis that a third 31 party or other insurance carrier is responsible for the covered 32 person’s injuries. The bill does not prohibit a health benefit 33 plan from seeking subrogation or indemnification from a third 34 party. 35 -1- LSB 5483YH (2) 90 nls/ko 1/ 1