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AR SB877
Bill
Status
5/17/2013
Primary Sponsor
Jon Woods
Click for details
AI Summary
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Amends Arkansas Code § 23-86-112(a) to clarify that group accident and health policies may not require hospital or medical services to be rendered by a particular hospital or person, while maintaining the insurer's option to pay directly to providers.
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Adds definition of "policyholder" in Arkansas Code § 23-86-403(8) as the employer, association, state, county, or municipal agency contracting with a health maintenance organization or insurance company for a health benefit plan.
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Modifies Arkansas Code § 23-86-404 to replace "health maintenance organization" with "health maintenance organization or insurance company" throughout the section governing optional health benefit plans.
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Changes requirement in § 23-86-404(a)(2) from a 25% benefit level difference limit to allowing the Insurance Commissioner to optionally review and determine if the contracted provider network is adequate.
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Shifts decision-making authority from mandatory requirements to discretionary options, allowing the Insurance Commissioner to "may" promulgate rules instead of "shall" require them in § 23-86-404(b)(2).
Legislative Description
To Amend The Health Benefit Plan Options That May Be Offered By Insurers.
Last Action
Sine Die adjournment
5/17/2013