§ 26-34-111 — Information to enrollees; claims to be accepted or rejected; attorney's fees

(a) Each health maintenance organization shall:
(i) Provide promptly to its enrollees notice of any
material change in the operation of the organization that will
directly affect those enrollees;
(ii) Provide to its subscribers a list of providers,
upon enrollment and reenrollment;
(iii) Notify an enrollee in writing of the
termination of the primary care provider who provided health
care services to that enrollee, and provide assistance to the
enrollee in transferring to another participating primary care
provider;
(iv) Provide to subscribers information on how
services may be obtained, where additional information on access
to services can be obtained and a telephone number where the
enrollee can contact the organization at no cost to the
enrollee.
(b) Any claim for a benefit under a health insurance
policy shall be rejected or accepted and paid by the health
maintenance organization in accordance with W.S. 26-15-124(a)
and (c).