§ 42-4-205 — Insurance policy termination notification requirement

Wyoming § 42-4-205

• Jurisdiction: Wyoming
• Title 42: Welfare
• Ch. 4: MEDICAL ASSISTANCE AND SERVICES
• Art. 2: MEDICAID BENEFIT RECOVERY

Text

(a) With respect to cases for which there is an assignment
in effect pursuant to W.S. 42-4-204:
(i) The department, upon receipt of the health
coverage information, shall notify the obligor's insuring entity
that the department shall be notified thirty (30) days prior to
discontinuance of coverage;
(ii) Entities providing health insurance as defined
in title 26 and health maintenance organizations and prepaid
health clinics as defined in W.S. 26-34-102 shall upon request
by the department, provide a list of insureds residing in the
state and any records and information as necessary to accomplish
the purpose of this section, unless the requirement results in
an unreasonable burden;
(iii) The department and the insurance commissioner
appointed pursuant to W.S. 26-2-102 shall enter into a
cooperative agreement for requesting and obtaining information
necessary to effect the purpose and objectives of this section;
(iv) The department shall only request information
from the entity providing health insurance necessary to
determine whether health insurance, as defined pursuant to title
26 or those health services provided pursuant to W.S. 26-34-102,
are discontinued;
(v) The department, in consultation with the
department of insurance, shall promulgate rules for the
development and administration of the cooperative agreement.
The rules shall include the following:
(A) A method for identifying those entities
subject to furnishing information under the cooperative
agreement;
(B) A method for furnishing requested
information; and
(C) Procedures for requesting exemption from the
cooperative agreement based on an unreasonable burden to the
reporting entity.
(vi) If the department notifies the insurer that it
has made payments to the provider, payment of benefits or
notices of denial issued by the insurer shall be made directly
to the department.
(b) Upon the department receiving notice from the
obligor's insuring entity that the coverage is discontinued due
to cancellation for any reasons, the department shall retain
that information for use in enforcing any court order requiring
the obligor to provide health insurance to the individuals
stated in the court order.