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AZ SB1591
Bill
Status
3/16/2011
Primary Sponsor
Sylvia Allen
Click for details
AI Summary
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Requires health insurance issuers to provide written reports of claim information to group health plan sponsors and administrators within 30 days of request, limited to two requests per 12-month period.
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Report must include aggregate paid claims by month, total premiums, covered employee counts by coverage tier, pending claims amounts, and individual claims details for any person exceeding $15,000 in annual claims with procedure and diagnosis codes.
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Plan sponsors must certify compliance with federal privacy regulations (45 CFR 164.504(f)(2)) to receive protected health information; those without certification receive aggregate data only.
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Health insurance issuers are exempt from civil liability for releasing information pursuant to the chapter, and must respond to requests for additional case management or prognosis information within 15 days.
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Director may impose civil penalties of $250 per day for non-compliance and suspend an insurer's certificate of authority, except for inadvertent or accidental violations.
Legislative Description
Health insurance claims; information; disclosure
Last Action
Senate minority caucus: Do pass
4/14/2011