1753.08 Notification of amendment to provider's contract.

(A) A health insuring corporation shall notify a participating provider prior to the effective date of an amendment to the participating provider’s contract with the health insuring corporation, and prior to the effective date of an amendment to any document incorporated by reference into the contract if the amendment of the document directly and materially affects the participating provider. Such amendments shall not be effective with regard to a participating provider until the participating provider has had reasonable time, as defined in the contract, to exercise the participating provider’s right to terminate its participation status in accordance with the terms and conditions of the contract.

(B) Division (A) of this section does not apply if the delay caused by compliance with that division could result in imminent harm to an enrollee or if the amendment is required by state or federal law, rule, or regulation.

Effective Date: 10-01-1998