(1) Any benefits payable under the plan may be made either directly to the attending
physicians, hospitals, medical groups, or others furnishing the services upon which
a claim is based, or to the covered employee, upon presentation of valid bills for
such services, subject to subsection (3) of this section and such provisions to facilitate
payment as may be made by the board. All benefits payable under this plan shall be payable directly to the covered employee
unless such covered employee shall make a valid assignment in accordance with subsection
(3) of this section.
(2) The plan may not, by its terms, limit or restrict the covered employee's ability
to assign the covered employee's benefits under the policy to a licensed health care
provider that provides health care services to the covered employee. Any such plan provision in violation of this subsection shall be invalid.
(3) If the covered employee provides the board with written direction that all or
a portion of any indemnities or benefits provided by the plan be paid to a licensed
health care provider rendering hospital, nursing, medical or surgical services, then
the plan shall pay directly the licensed health care provider rendering such services. That payment shall be considered payment in full to the provider, who may not bill
or collect from the covered employee any amount above that payment, other than the
deductible, coinsurance, copayment or other charges for equipment or services requested
by the covered employee that are noncovered benefits after the signing of an explanatory
document about the noncovered benefit by the covered employee.
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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