PURPOSE

(1) The purpose of these rules is to: (a) adopt the Coordination of Benefits Model Regulation, as promulgated by the National Association of Insurance Commissioners (NAIC); (b) establish a uniform order of benefit determination under which plans pay claims; (c) establish uniformity in the permissive use of overinsurance provisions and to avoid claim delays and misunderstandings that could otherwise result from the use of inconsistent or incompatible provisions among plans; (d) reduce duplication of benefits by permitting a reduction of the benefits to be paid by plans that, pursuant to rules established by this subchapter, do not have to pay their benefits first; and (e) provide greater efficiency in the processing of claims when a person is covered under more than one plan. Authorizing statute(s): 33-1-313 , MCA Implementing statute(s): 33-15-304 , 33-18-201 , 33-22-225 , 33-22-226 , 33-22-502 , MCA History: NEW, 1987 MAR p. 1766, Eff. 10/16/87; AMD, 2010 MAR p. 2958, Eff. 12/24/10.