California Insurance Code

§ 10133.7

INS § 10133.7 Effective Jan 1, 1994Div. 2 · Part 2 · Ch. 1 · Art. 2

Statute text

(a)On and after January 1, 1994, any disability insurer shall pay group insurance benefits contingent upon, or for expenses incurred on account of, hospitalization or medical or surgical aid to the person or persons having provided or having paid for the hospitalization or medical or surgical aid where that person has qualified for reimbursement by submitting the items and information specified in subdivisions (b) and (c). The amount of any such payment shall not exceed the amount of benefit provided by the policy with respect to the service or billing of the provider of aid, and the amount of payments shall not exceed the amount of expenses incurred on account of the hospitalization or medical or surgical aid. Payment so made shall discharge the insurer’s obligation with respect to the amount so paid.

(b)The items which shall be submitted to the insurer for reimbursement pursuant to subdivision (a) are as follows:

(1)Proof of payment of medical services and a provider’s itemized bill for service.

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Legislative history

Added by Stats. 1993, Ch. 744, Sec. 2.5. Effective January 1, 1994.