Legislation


SB 543 – North Carolina

Status: Inactive / Dead
Year Introduced: 2017
Link: http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2017&BillID=S543

“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.


Return to Database Search

© 2018-2019 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

Associated Litigation:

No items found

Leave A Comment