LD 408
pg. 2
Page 1 of 2 An Act Limiting Recovery of Disability Benefits Subject to Offsets LD 408 Title Page
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LR 446
Item 1

 
and certificate of coverage developed by the insurer that is
intended to be distributed to persons eligible for coverage under
the policy or contract a clear and conspicuous notice that
accurately explains all types of other sources of income that may
result in a reduction of the benefits payable under the policy or
contract. The notice requirement under this section does not apply
to an advertisement intended for the general public.

 
2. Recovery of disability benefit overpayments.__For claims
filed after January 1, 2006, an insurer that is entitled to
reduce disability income benefit payments when the insured
receives income from other sources and that is entitled to
recover overpayments through offsets against current payments to
the insured may not recover such overpayments at a rate greater
than 10% of the net benefit per benefit payment period unless:

 
A.__The insurer has complied with the requirements of
subsection 1;

 
B.__The insurer effects the offset of benefits within 60
days of notice to the insurer that the insured is receiving
or is entitled to receive income that may result in a
reduction of benefits payable under the policy;

 
C.__The overpayment did not result from the insurer's
miscalculation of benefit reductions or the insurer's
miscalculation of benefits payable under the policy; and

 
D.__The insurer provided the insured with written notice of
contract provisions permitting benefit reductions within 60
days of the date disability benefits commenced.

 
SUMMARY

 
This bill limits the rate at which an insurer's overpayment of
disability income benefits may be recovered by the insurer
through offsets against current payments to the insured.


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