RSA 420-H:4 Requirements.

Title: XXXVII - INSURANCE Chapter: 420-H - EXPLANATION OF BENEFITS

Enrollees, subscribers, certificate holders, and individual insureds shall receive in simple and concise written language at least the following information:
I. An explanation of benefits provided.
II. Any benefit limitations, reductions, exclusions or exceptions to covered services, including an explanation of any restrictions on a subscriber's access to network practitioners based upon the subscriber's choice of primary care physician. The explanation of restrictions shall include a section regarding "referrals to other providers or other medical specialists" that shall urge enrollees, subscribers, certificate holders, and individual insureds to inquire about their primary care provider's referral group within the insurer's network. Such explanation shall include a gen

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