Arizona § 20-3112 Applicability

Arizona Statutes

§ 20-3112 — Applicability

Arizona·Title 20 Arizona Revised Statutes·Ch. 20 TIMELY PAYMENT OF CLAIMS·Art. 2 Out-of-Network Claim Dispute Resolution

This article does not apply to:

1.Health care services that are not covered by the enrollee's health plan.

2.Limited benefit coverage as defined in section 20-1137.

3.Charges for health care services that are subject to a direct payment agreement under section 32-3216 or 36-437.

4.Health plans that do not include coverage for out-of-network health care services, unless otherwise required by law.

5.State health and accident coverage for full-time officers and employees of this state and their dependents that is provided pursuant to title 38, chapter 4, article 4.

6.A self-funded or self-insured employee benefit plan if the regulation of that plan is preempted by the employee retirement income security act of 1974 (P.L. 93-406; 88 Stat. 829; 29 United States Code section 1144(b))

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This article does not apply to:

1. Health care services that are not covered by the enrollee's health plan.

2. Limited benefit coverage as defined in section 20-1137.

3. Charges for health care services that are subject to a direct payment agreement under section 32-3216 or 36-437.

4. Health plans that do not include coverage for out-of-network health care services, unless otherwise required by law.

5. State health and accident coverage for full-time officers and employees of this state and their dependents that is provided pursuant to title 38, chapter 4, article 4.

6. A self-funded or self-insured employee benefit plan if the regulation of that plan is preempted by the employee retirement income security act of 1974 (P.L. 93-406; 88 Stat. 829; 29 United States Code section 1144(b)).

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