Section 500.1509. Complaint; insurer's responsibility upon conclusion of internal complaint resolution process.

Latest version.

All data is extracted from pdf, click here to view the pdf.

(1) Upon conclusion of the internal complaint   resolution process, the insurer shall provide the following information   to   the complainant:

(a) The action taken by the insurer.

(b)   The facts, with supporting documentation, upon which the action is based.

(c)   The specific section or sections of the law upon which the action is based.

(d) A statement explaining the person's right to appeal the matter to the commissioner within 120 days after the insurer makes or   delivers   the written statement.

(e)   ) A statement describing the status of the insurance   coverage or coverages involved.

(2) The insurer shall offer to provide the information in writing. If the insured accepts the offer, the insurer shall mail   the written statement via first-class mail within 3 business days   after acceptance.Such a written statement shall be phrased in terms   understandable to a person of ordinary intelligence.

History: 1981 AACS.

                    
                        var val = document.getElementById('citecontent').innerHTML;
                        art.dialog.defaults.title = window.location.href;
                        art.dialog.data('cite', val);
                        art.dialog.data('homeDemoPath', '/Scripts/plus/artDialog/');
                        art.dialog.open('/Scripts/plus/artDialog/citeiframe.html');