Section 10354 Of Article 4. Compulsory Standard Provisions—uniform Provisions From California Insurance Code >> Division 2. >> Part 2. >> Chapter 4. >> Article 4.
10354
. (a) (1) Every policy of disability insurance issued,
amended, or renewed on or after January 1, 1994, that offers coverage
for perinatal services shall contain a provision for direct
reimbursement to licensed midwives for perinatal services rendered
under terms and conditions as may be agreed upon between the
policyholder and the insurer.
(2) The licensed midwife may collect payment for any unpaid
portion of his or her fee, as provided under the policy for other
providers.
(3) Reasonable consideration shall be given to licensed midwives
by disability insurers contracting for services at alternative rates.
For the purposes of this section, "reasonable consideration" shall
have the meaning provided in Section 10180.
(b) For purposes of this section, "direct reimbursement" means
that after the policyholder files a claim for the perinatal service
provided under those terms and conditions as may be agreed upon
between the policyholder and the insurer, the insurer pays the
licensed midwife directly.