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                                                      PRINTER'S NO. 1729

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1184 Session of 2006


        INTRODUCED BY PILEGGI, BOSCOLA, MADIGAN, EARLL, RAFFERTY, COSTA,
           ERICKSON, C. WILLIAMS, STACK, LEMMOND, O'PAKE, BROWNE AND
           GREENLEAF, APRIL 19, 2006

        REFERRED TO BANKING AND INSURANCE, APRIL 19, 2006

                                     AN ACT

     1  Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
     2     act relating to insurance; amending, revising, and
     3     consolidating the law providing for the incorporation of
     4     insurance companies, and the regulation, supervision, and
     5     protection of home and foreign insurance companies, Lloyds
     6     associations, reciprocal and inter-insurance exchanges, and
     7     fire insurance rating bureaus, and the regulation and
     8     supervision of insurance carried by such companies,
     9     associations, and exchanges, including insurance carried by
    10     the State Workmen's Insurance Fund; providing penalties; and
    11     repealing existing laws," further providing for mandated
    12     policy coverages and options.

    13     The General Assembly of the Commonwealth of Pennsylvania
    14  hereby enacts as follows:
    15     Section 1.  Section 602-A of the act of May 17, 1921
    16  (P.L.682, No.284), known as The Insurance Company Law of 1921,
    17  is amended by adding a subsection to read:
    18     Section 602-A.  Mandated Policy Coverages and Options.--* * *
    19     (e)  If reimbursement for services specified in sections 603-
    20  A(b), 604-A(b) and 605-A(b) is denied and the covered individual
    21  has exhausted the internal grievance process or complaint
    22  procedures of an entity enumerated under subsection (a), the


     1  covered individual may enter into an agreement with the provider
     2  to obtain the services at the covered individual's own expense,
     3  notwithstanding any contractual provisions between the entity
     4  enumerated under subsection (a) and the provider.
     5     Section 2.  This act shall take effect in 60 days.

















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