AR HB1295

Healthcare insurers must pay providers the full amount due for services including cost sharing, then collect cost sharing directly from enrollees rather than withholding it from provider payments

Insurers are prohibited from increasing premiums, cost sharing, or fees unless their capital exceeds mandatory control level RBC by less than 650% AND their medical loss ratio is 90% or greater on clinical services

Insurers must file annual financial statements with the Insurance Commissioner by March 1 detailing assets, liabilities, premium income, claims paid, and claims denied by line of business

Enrollees must receive annual reports showing premiums paid, cost sharing collected, payments to providers, denied claims, and itemized administrative expenses including marketing, claims operations, and network costs

Enrollees may sue insurers for double the amount of any premium or cost-sharing overcharge plus court costs and attorney's fees; violations constitute deceptive trade practices