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FOR IMMEDIATE RELEASE TRANSPARENCY, COLLABORATION EXEMPLIFY NAIC
HEALTH CARE REFORM EFFORTS SEATTLE (Aug. 14, 2010) – Ongoing efforts in health care reform is a significant topic as members of the National Association of Insurance Commissioners (NAIC) meet in Seattle this week for the Summer National Meeting. Since the passage of the Patient Protection and Affordable Care Act (PPACA) earlier this year, the NAIC has been working closely and collaboratively with a diverse group of federal colleagues, consumers and interested parties on implementation activities. “The NAIC’s commitment to an open dialogue is a hallmark of our process, and health reform deliberations are no exception,” said Jane L. Cline, NAIC President and West Virginia Insurance Commissioner. “With close to 300 open conference calls and public meetings and more than 400 public comments, our inclusive process has allowed many different parties weigh in on this issue.” Health Reform Sessions The Exchanges Subgroup heard testimony from representatives of insurance producers on their role in the exchanges. The Subgroup also plans to discuss its next steps, including the development of a NAIC model law that will give guidance to states as they begin to implement the legislation in 2011. The PPACA Actuarial Subgroup continues working on MLR definitions and its calculation. Following completion of this process, the Subgroup intends to develop a NAIC model law that will reflect its resolution of those issues. The proposed NAIC model has been tentatively named the “Model Regulation for Uniform Definitions and Standardized Rebate Calculation Methodology Per Section 2718(b) of the PHSA.” The NAIC is on schedule to complete MLR definitions/calculations and submit them to the Department of Health and Human Services by the end of the summer. Antifraud The Antifraud Task Force and ERISA Subgroup met jointly for a public hearing on Limited Medical Benefit Plans, concentrating on the sales and marketing of the products to consumers and employers. The hearing was precipitated by a growing number of instances where health plans sold were misrepresented as comprehensive coverage, and consumers were left without medical insurance and often with significant debt. The NAIC heard testimony from representatives of the insurance industry and consumer groups. Regulators stressed the importance of clarifying disclosures at the point of sale that address what the plan specifically covers. The NAIC plans to look further into how these plans may be affected by the PPACA laws and what regulators can do to address the current rise of scams related to these health care plans. |
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About the NAIC Formed in 1871, the National Association of Insurance Commissioners (NAIC) is a voluntary organization of the chief insurance regulatory officials of the 50 states, the District of Columbia and five U.S. territories. The NAIC has three offices: Executive Office, Washington, D.C.; Central Office, Kansas City, Mo.; and Securities Valuation Office, New York City. The NAIC serves the needs of consumers and the industry, with an overriding objective of supporting state insurance regulators as they protect consumers and maintain the financial stability of the insurance marketplace. For more information, visit www.naic.org. |
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