[§431L-2.5]  Insurer requirements. 
Any health insurer as identified in section 431L-1 shall:



(1)  Provide, with
respect to individuals who are eligible for, or are provided, medical
assistance under Title 42 United States Code Section 1396a (Section 1902 of the
Social Security Act), as amended, upon the request of the State, information to
determine during what period the individual or the individual's spouse or
dependents may be or may have been covered by a health insurer and the nature of the coverage that is or was provided by the health
insurer, including the name, address, and identifying number of the plan in a
manner prescribed by the State;



(2)  Accept the State's right of recovery and the
assignment to the State of any right of an individual or other entity to
payment from the party for a health care item or service for which payment has
been made for medical assistance under Title 42 United States Code Section
1396a (Section 1902 of the Social Security Act);



(3)  Respond to any inquiry by the State regarding a
claim for payment for any health care item or service that is submitted not
later than three years after the date of the provision of the health care item
or service; and



(4)  Agree not to deny a claim submitted by the State
solely on the basis of the date of submission of the claim, the type or format
of the claim form, or a failure to present proper documentation at the point-of-sale
that is the basis of the claim, if:



(A)  The claim is submitted by the State within
the three-year period beginning on the date on which the health care item or
service was furnished; and



(B)  Any action by the State to enforce its
rights with respect to the claim is commenced within six years of the State's
submission of the claim. [L 2009, c 103, §2]