Committees & Activities

Health Insurance and Managed Care (B) Committee

The following task forces and working groups report to the Health Insurance and Managed Care (B) Committee:


The mission of the Health Insurance and Managed Care (B) Committee is to consider issues relating to all aspects of health insurance.

2016 Charges  

Ongoing Maintenance of NAIC Programs, Products and Services

  1. The Health Insurance and Managed Care (B) Committee will:

    1. Respond to inquiries from the U.S. Congress, the White House and federal agencies; analyze policy implications and effect on states of proposed and enacted federal legislation; communicate the NAIC’s position through letters and testimony when requested.—Essential

    2. Monitor the activities of the Health Actuarial (B) Task Force.—Essential

    3. Monitor the activities of the Regulatory Framework (B) Task Force.—Essential

    4. Monitor the activities of the Senior Issues (B) Task Force.—Essential

    5. Serve as the official liaison between the NAIC and the Joint Commission on Accreditation of Healthcare Organizations, the National Committee on Quality Assurance (NCQA) and URAC.—Important

    6. Examine factors that contribute to rising health care costs and insurance premiums; review state initiatives to address cost drivers.—Important

    7. Utilize the Regulatory Framework (B) Task Force to review and, if necessary, consider revisions to the Health Carrier Prescription Drug Benefit Management Model Act (#22) to address issues related to: 1) transparency, accuracy and disclosure regarding prescription drug formularies and formulary changes during a policy year; 2) accessibility of prescription drug benefits using a variety of pharmacy options; and 3) tiered prescription drug formularies and discriminatory benefit design.—Important

    8. Coordinate with the Market Regulation and Consumer Affairs (D) Committee, as necessary, to provide policy recommendations regarding uniform state enforcement of the federal Affordable Care Act (ACA).—Essential

    9. Coordinate with the Producer Licensing (EX) Task Force, as necessary, regarding the regulation and activities of navigators and non-navigator assistance personnel as provided under the ACA and regulations implementing the ACA.—Essential

    10. Coordinate with the Antifraud (D) Task Force, as necessary, regarding state and federal antifraud activities related to the implementation of the ACA.—Essential
Conference Call Calendar

NAIC conference calls & interim meetings are available on the NAIC Conference Call Calendar. See NAIC's revised policy statement on open meetings.

Go to the exposure draft index.

Also see the Master Issue Resolution Document (IRD) exposed by the Accident and Health Working Group PPACA Actuarial Subgroup (Updated 10/1/10).

Advance Materials

Summer National Meeting
Sunday, Aug. 28, 2016
9:00 - 10:30 a.m. PT / 7:00 - 8:30 a.m. CT
Manchester Grand Hyatt - Seaport Ballroom AB - Second Level

Health Insurance & Managed Care (B) Committee
Conference Call
July 27, 2016
1:00 PM ET/12:00 PM CT

Health Insurance and Managed Care (B) Committee
Conference Call
May 16, 2016
11:00 AM ET/10:00 AM CT

2016 Spring National Meeting
Sunday, April 4, 2016
3:30 - 5:00 p.m.
Sheraton New Orleans - Napoleon BC3 - 3rd Floor

documents and resources
NAIC Letter on Rate Review Data
January 30, 2014

Comments on Part III of the Marketing and Outreach White Paper

Flow Chart
U.S. Territories Discussion Paper (Adopted by the Health Insurance and Managed Care (B) Committee, Oct. 7, 2013)
Joint Qualified Actuary (A/B/C) Subgroup
NAIC Comment Letter to Centers for Medicare & Medicaid Services, Department of Health and Human Services Regarding Benefit and Payment Parameters for 2014 1/16/13

American Health Benefit Exchange Model Act (Document adopted by Health Insurance and Managed Care (B) Committee 11/22/10)

NAIC Comment Letter on OPM's Multi-State Plan Application

SPECIAL SECTION: Health Care Reform (PPACA) Implementation:
NAIC Activities | FAQ

Guidance Discussion Papers Adopted by Committee, June 27, 2013

Guidance White Papers

  1. Accreditation & Quality Guidance White Paper
  2. Form Review Guidance White Paper
  3. Marketing & Consumer Information Guidance White Paper
  4. Network Adequacy Guidance White Paper
  5. Rate Review Guidance White Paper
State Jurisdictional and Extraterritorial Issues White Paper: States' Treatment of Regulatory Jurisdiction
Related NAIC Publications
Draft meeting minutes are available free for meeting attendees 10 business days after a national meeting concludes, using the User ID and Password supplied by the NAIC. Regulators may access minutes via StateNet.
Final committee minutes and Proceedings of the NAIC are available to non–attendees, after adoption at the next national meeting, for free in the PDF format through the NAIC Products & Services website.

An Exploration of Potential Regulatory Measures Intended to Prevent Individuals at Later Durations of Non-Group Major Medical Products from Receiving Higher Rate Increases than Those at Early Durations White Paper

Bulletin Regarding Health Care Providers
Compendium of State Laws on Insurance Topics
ERISA: Barrier to Health Care Consumers' Rights
Health Care Cost Management Guide
Health Reserves Guidance Manual
Model Laws, Regulations and Guidelines
Uninsured Motorists: A Growing Problem for Consumers
Media queries should be directed to the NAIC Communications Division at 816-783-8909 or
Jolie H. Matthews
Senior Health Policy Advisor and Counsel
Phone: 202-471-3982
Fax: 202-471-3972

Jennifer Cook
Senior Health Policy Analyst and Counsel
Phone: 202-471-3986
Fax: 202-471-3972

Brian R. Webb
Manager, Health Policy & Legislation
Phone: 202-471-3978
Fax: 202-471-3972
Please see the current Committee List for a complete list of committee members.