Health Insurance and Managed Care (B) Committee
The following task forces and working groups report to the Health Insurance and Managed Care (B) Committee:
Mission
The mission of the Health Insurance and Managed Care (B) Committee is to consider issues relating to all aspects
of health insurance.
2012 Charges
Ongoing Maintenance of NAIC Programs, Products or Services
- Respond to inquiries from Congress, the White House and federal agencies; analyze policy implications and
effect on states of proposed legislation; communicate NAIC's position through letters and testimony when
requested.—Essential
- Monitor the activities of the Health Actuarial (B) Task Force.—Essential
- Monitor the activities of the Regulatory Framework (B) Task Force.—Essential
- Monitor the activities of the Senior Issues (B) Task Force.—Essential
- Oversee changes and provide technical assistance as appropriate to the production of the Accident and Health
Statistical Compilation and Market Share Report. Periodically evaluate the demand, utility and income
derived from these reports versus their cost.—Essential
- Review issues surrounding the uninsured/underinsured and strategies for achieving universal coverage,
determine what contributions state insurance regulators, from their unique perspective, can make to the
debate, and develop appropriate vehicles to convey any positions or principles the committee develops to a
multiplicity of audiences.—Essential
- Serve as the official liaison between NAIC and the Joint Commission on Accreditation of Healthcare
Organizations (JCAHO), the National Committee on Quality Assurance (NCQA), and URAC.—Important
- Review issues surrounding evidence-based medicine and determine whether rigorous and consistent reporting
should be required. If so, develop a model law on the topic or recommend another appropriate vehicle to
achieve goals.—Important
- Examine issues and, as necessary, state laws and/or regulations regarding appropriate underwriting questions
on applications for health insurance coverage particularly with respect to ensuring that underwriting practices
and HIV testing procedures are nondiscriminatory; and, if appropriate, develop a model law or model bulletin
to reflect state law and/or regulations on the subject.—Important
- Review the need for a model law or regulation or other vehicle to address and ensure appropriate producer
participation in assisting employers and individual consumers making health care insurance purchase
decisions for products sold inside and/or outside of health insurance exchanges, make appropriate drafting
recommendations and make recommendations to the Secretary of Health and Human Services (HHS)
regarding guidelines for producer participation in health insurance exchanges.—Important
- Appoint a Limited Medical Benefit Plan (B/D) Working Group—a joint working group of the Health
Insurance and Managed Care (B) Committee and the Market Regulation and Consumer Affairs (D)
Committee to coordinate efforts and review issues related to limited medical benefit plans, including:
1) misrepresentation in sales and marketing; 2) product utility; and 3) authorized and unauthorized agents.
The Working Group shall develop recommendations to address concerns and issues addressed during the
review.—Important
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