Regulatory Framework (B) Task Force
December 3, 2007

The Regulatory Framework (B) Task Force met on Monday, Dec. 3, 2007.

At this meeting, the Task Force:

• Discussed a new draft of the proposed Uniform Health Carrier External Review Model Act. After the 2007 Fall National Meeting, a new draft of the proposed Uniform Health Carrier External Review Model Act was developed and circulated on Nov. 15, 2007 for comment. During this meeting, the Task Force discussed a new draft dated Dec. 2, 2007. This new draft included the revisions in the Nov. 15, 2007 draft as well as a few other revisions to address comments received on the Nov. 15, 2007 draft. The Task Force decided that the draft was not ready to be voted on because there were a few important issues related to the use of evidence-based standards that could not be resolved. The Task Force will continue the discussions to address this issue and intends to prepare and distribute a new draft for comment in early January 2008. The Task Force plans on holding a conference call prior to the 2008 Spring National Meeting to adopt the model and then present it to the Health Insurance and Managed Care (B) Committee for its consideration.

• Received a report from the ERISA Subgroup. The Subgroup met in a Regulator-to-Regulator Session to discuss ongoing investigations. The Subgroup plans on developing two advisory alerts in response to recent Department of Labor Advisory Opinions regarding what is a fully-insured MEWA and the single-employer status of PEOs. Drafts of the alerts will be circulated for comment sometime in mid-January 2008.

Action Items:

None