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:

Mission

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

2014 Charges  

Ongoing Maintenance of NAIC Programs, Products or Services

  1. 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

  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. Oversee changes and provide technical assistance as appropriate to the production of the Accident and Health Statistical Compilation and Market Share reports. Periodically evaluate the demand, utility and income derived from these reports versus their cost.—Essential

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

  7. 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

  8. 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

  9. Appoint a Health Care Reform Regulatory Alternatives (B) Working Group to:
    1. provide a forum for discussion of and guidance on the alternatives to implementing a federal Affordable Care Act (ACA)-compliant state-based exchange and the implications of such alternatives on NAIC member regulatory authority;
    2. identify and assist NAIC members in resolving open issues that need to be addressed with regard to non-state-exchange ACA alternatives;
    3. analyze the impact of the ACA on existing NAIC member regulatory authority both inside and outside of a federal exchange as well as the impact on NAIC model laws (Unfair Insurance Practices Model Act, Producer Licensing Model Act, Model Law on Examinations, etc.); and
    4. identify opportunities for NAIC members to continue to innovate and regulate outside of a federal exchange.—Essential

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

  11. Coordinate with the Producer Licensing (EX) Task Force, as necessary, regarding the regulation and activities of navigators and non-navigator assistors as provided under the ACA and regulations implementing the ACA.—Essential? 2013 National Association of Insurance Commissioners 17

  12. 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.
Draft of Proposed Rate Stability Revisions to the Long-Term Care Insurance Model Regulation (#641) - Adopted by B Committee
(Draft: 6/10/14)
Part III of the Marketing and Outreach White Paper (Draft: 3/20/14)

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
2014 Summer National Meeting
Louisville, KY
Health Insurance and Managed Care(B) Committee
Sunday, August 17, 2014 3:30–5:00 p.m.
Kentucky International Convention Center
—Room 101/104— Level 1

Health Insurance and Managed Care (B) Committee
Conference Call
Tuesday, June 10, 2014
11:00 AM ET/10:00 AM CT

Health Insurance and Managed Care (B) Committee
Conference Call
Wednesday, May 21, 2014
1:30 PM ET/12:30 PM CT

documents and resources
LTC Insurance Model Rate Stability Revisions
NAIC Letter on Rate Review Data
January 30, 2014

Comments on Part III of the Marketing and Outreach White Paper

ACA FAQ
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
Minutes for the four most recent NAIC National Meetings are available free for meeting attendees and members. Members may access minutes via StateNet. If you do not know your User ID or password, please contact the NAIC Help Desk.

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
Contacts
Media queries should be directed to the NAIC Communications Division at 816-783-8909 or news@naic.org.
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.