§ 36-3651. “Actual charge” and “actual fee” defined - Application.

A.  As used in an individual or group specified disease insurance policy, “actual charge” or “actual fee” means the amount actually paid by or on behalf of the insured and accepted by a provider for services provided.  Insurance policies that use these terms must use them as defined in this section.

B.  Except as provided by subsection C of this section, the change in law made by this section applies only to insurance policies delivered, issued for delivery, or renewed on or after the effective date of this act.  An insurance policy delivered, issued for delivery, or renewed before the effective date of this act is governed by the law in effect immediately before that date, and that law is continued in effect for that purpose.

C.  This section applies to an insurance policy in effect on the effective date of this act only if the policy does not define “actual charge” or “actual fee”.

Added by Laws 2006, c. 164, § 1, eff. Nov. 1, 2006.