§ 26-34-133 — Coordination of benefits

(a) Health maintenance organizations are permitted, but
not required, to adopt coordination of benefits provisions to
avoid overinsurance and to provide for the orderly payment of
claims when a person is covered by two (2) or more group health
insurance or health care plans.
(b) If a health maintenance organization adopts
coordination of benefits provisions, the provisions shall be
consistent with the coordination of benefits provisions that are
in general use in the state for coordinating coverage between
two (2) or more group health insurance or health care plans.
(c) To the extent necessary for health maintenance
organizations to meet their obligations as secondary carriers
under the rules for coordination, the organizations shall make
payments for services that are:
(i) Received from nonparticipating providers; or
(ii) Provided outside their service areas.