Mo. Code Regs. tit. 20 § 100-1.070

Current through Register Vol. 49, No. 21, November 1, 2024.

Section 20 CSR 100-1.070 - Identification Cards Issued by Health Carriers

PURPOSE: This rule sets forth the require-ments for an identification card issued to insureds or enrollees by health carriers offer-ing health benefit plans.

(1) Applicability.

(A) This rule applies to all health carriers offering or providing a plan of health insurance, health benefits, or health services to individuals and groups.

(B) The provisions of this rule do not apply to identification cards issued to individuals or groups that relate solely to the provision of prescription drug benefits.

(2) Definitions. As used in this section-

(A) "Health benefit plan" means health benefit plan as defined in section 376.1350(18), RSMo; and

(B) "Health carrier" means health carrier as defined in section 376.1350(22), RSMo.

(3) Identification Cards.

(A) An identification card or similar document issued to insureds or enrollees shall include the following information:

1. The name of the enrollee or insured;

2. The first date on which the enrollee or insured became eligible for benefits under the plan or a toll-free number that a health care provider may use to obtain such information; and

3. Indicate that the health benefit plan offered by the health carrier is regulated by the Department of Insurance, Financial Institutions and Professional Registration by placing "Fully Insured" on the front.

(B) The issuer of a health benefit plan may use an identification card containing a magnetic strip or other technological component enabling the electronic transmission of information, provided that the information in this section is printed on the card.

20 CSR 100-1.070

AUTHORITY: section 376.1007, RSMo 2000 and sections 374.045, 376.383, and 376.384, RSMo Supp. 2008.* Original rule filed Sept. 5, 2008, effective May 30, 2009.

Amended by Missouri Register June 3, 2019/Volume 44, Number 11, effective 7/31/2019. Non-substantive change filed Sept. 11, 2019, published Oct. 31, 2019.

*Original authority: 374.045, RSMo 1967, amended 1993, 1995, 2008; 376.383, RSMo 1998, amended 2001; 376.384, RSMo 2001; and 376.1007, RSMo 1993.