™Your Policy Risk Impact Agent
63 chapters · 1,607 sections in this title.
S.C. Code Ann. § 38-71-1750 Disclosures required of network plans
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A network plan must disclose in writing, using the plain and ordinary meaning of words so as reasonably to ensure comprehension by the insured or member, and make available to an insured or a member at the time of enrollment: (1) services or benefits under the plan, including lim…
S.C. Code Ann. § 38-71-1760 Promulgation of regulations
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The Director of the Department of Insurance or his designee shall promulgate regulations to implement the provisions of this chapter.
S.C. Code Ann. § 38-71-1810 Pharmacy audit rights
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(A) For the purposes of this article: (1) "Insurer" means an entity that provides health insurance coverage in this State as defined in Section 38-71-670(7) and Section 38-71-840(16). (2) "Responsible party" means the entity responsible for payment of claims for health care servi…
S.C. Code Ann. § 38-71-1820 Appeals process; dismissal; copy of audit findings
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(A) Each entity that conducts an audit of a pharmacy shall establish an appeals process under which a pharmacy may appeal an unfavorable preliminary audit report to the entity. (B) If, following the appeal, the entity finds that an unfavorable audit report or any portion of the u…
