58-12 INSURANCE CLAIMS AND BENEFITS
INSURANCE CLAIMS AND BENEFITS
Forms for proof of loss--Furnishing by insurer on request.
Acts of insurer not constituting waiver of defense.
Attorney fees--Recovery in action against self-insured employer or insurer failing to
pay loss--Other remedies not barred.
Separate hearing on attorney fees--Adding to judgment--Time allowed to request
Life and health insurance--Exemption of benefits and proceeds from execution.
"Annuity contract" defined.
Exemption of annuity contract benefits, rights, privileges, and options from
Premiums paid on annuity with intent to defraud creditors not exempt from
Maximum amount of annuity exemption--Excess subject to levy.
Application of excess annuities to judgment--Factors considered.
Benefits, rights, privileges, or options nontransferable under annuity contract--Not
subject to commutation--Exemption from execution.
Payments under life or health insurance policy or annuity contract discharge insurer.
Use of uniform health insurance claim forms.
Use of claim forms required by federal law excepted.
Promulgation of rules for uniform health insurance claim forms.
"Paintless dent repair" defined.
Motor vehicle insurer must provide sufficient compensation to restore vehicle to
prior condition--Adjustment for paintless dent repair permitted--Conditions.
Compensation when paintless dent repair method inappropriate--Requiring
unreasonable travel prohibited--Repair shop as payee only if insured agrees.
Compliance with § 58-12-16.
"Clean claim" defined.
Time limits for processing clean claims--Time limit for additional information
Applicability of §§ 58-12-19 to 58-12-21--Certain policies exempt--No private right
Transmission of information from insurer's database to Department of Social
Services--Data match against medicaid eligible recipients or recipients of support
Application for or acceptance of medical assistance paid by department operates as
release of information to facilitate coordination of benefits--Request.
Refusal of reimbursement due to manner, form, or date of claim prohibited--Time for
submission of claim.
Reimbursement to department for cost of services.
Provisions of chapter 1-27 not applicable to insurer records.
Annual reports of commercial property casualty insurance claims--Exception--Promulgation of rules.