R590-190-4. File and Record Documentation  


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  • Each insurer's claim files for policies or certificates are subject to examination by the commissioner of insurance or by the commissioner's duly appointed designees. To aid in such examination:

    (1) the insurer shall maintain claim data that is accessible and retrievable for examination; and

    (2) detailed documentation shall be contained in each claim file to permit reconstruction of the insurer's activities relative to the claim.