2025 Session
Last amended: 1994 session
§ 62Q.12 — Denial of Access
Plain-Language Summary
Addresses denial of access in health plan coverage decisions.
62Q.12 DENIAL OF ACCESS.
No health plan company may deny access to a covered health care service unless the denial is made by, or under the direction of, or subject to the review of a health care professional licensed to provide the service in question.
History:
History: History:
1994 c 625 art 2 s 20
Practical Notes
You have the right to a clear explanation and appeal process for coverage denials.