SB 543 – North CarolinaStatus: Inactive / Dead
Year Introduced: 2017
“HEALTH INSURANCE CLAIMS TRANSPARENCY ACT”: would require that within thirteen days that a health insurance issuer receives a written request for a written report of claim information from a plan, plan sponsor, or plan administrator, the health insurance issuer provide the request party the report in the form of a written report, an electronic file transmitted by secure electronic mail or file transfer protocol site, or by making the required information available through a secure Web site or Web portal system. A report of claim information must include all of the following information: aggregate paid claims experience by month, including claims experience for medical, dental, and pharmacy benefits as applicable, total premium paid by month, total number of covered employees on a monthly basis by coverage tiers, the total dollar amount of claims pending as of the date of the report, a separate description and individual claims report for any individual whose total paid claims exceed $15,000 during the 12 month preceding the date of the report.
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