subject: Payment of benefits : Dairyland Insurance Company [print this page] Payment of benefits : Dairyland Insurance Company
Payment of benefits under the coverage enumerated in section 10-4-706 shall be made on a monthly basis. Benefits for any period are overdue if not paid within thirty days after insurer receives reasonable proof of the fact and amount of expenses incurred during that period; except that an insurer may accumulate claims for periods not exceeding one month, and benefits are not overdue if paid within fifteen days after the period of accumulation. If reasonable proof is not supplied as to the entire claim, the amount supported by reasonable proof is overdue if not paid within thirty days after such proof is received by the insurer. Any part or all of the remainder of the claim that is later supported by reasonable proof is overdue if not paid within thirty days after such proof is received by the insurer.
In the event that the insurer fails to pay such benefits when due, the person entitled to such benefits may bring action in contract to recover the same.Within 30 days the Company should provide documentation demonstrating why it should not be considered to be in violation of 10-3-1104(1)(h)(II), (III) and 10-4-708(1) C.R.S. In the event the Company is unable to provide such documentation, the Company should be required to provide evidence to the Division of Insurance that it has reviewed all procedures related to timeliness of handling claims, investigation of claims, acknowledgment of claims, accumulation of bills, documentation of claim files and has implemented all necessary changes to assure compliance in each area. Visit Dairyland Insurance
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