Reimbursement of providers by insurers, third-party administrators or other payors that administrate health benefit policies issued in another state and covering persons in Mississippi

Miss. Code Ann. § 83-9-401, under Accident, Health and Medicare Supplement Insurance.

Miss. Code Ann. § 83-9-401

Any insurer, subcontractor, third-party administrator or other payor that administers a health benefit policy issued in another state that covers a person in this state, shall reimburse providers at the reimbursement rate as provided in the state of issuance, if that reimbursement rate is higher than the reimbursement rate in this state and if the premium for such policy was based on certain benefits and provider network reimbursements in the issuing state. Furthermore, if a benefit is provided in the issuing state, that benefit must be provided to covered persons in this state. The Commissioner of Insurance may adopt rules and regulations necessary to ensure policyholder protection and compliance with this section. ERISA and self-funded plans shall be exempt from this section.