CT HB05303

Requires managed care organizations to submit annual reports to the Insurance Commissioner by May 1st each year, including quality assurance plans, complaints data, prior authorization statistics, and utilization review information.

Adds new requirement for managed care organizations to report claims denial data for the prior calendar year, including total claims received, denials, appeals, reversals, and specific reasons for denials (not covered, not medically necessary, ineligible enrollee, etc.).

Mandates the Insurance Department post claims denial data on its Internet website to provide public transparency on insurance claim denials.

Requires the Insurance Commissioner to develop and distribute an annual "Consumer Report Card on Health Insurance Carriers in Connecticut" by October 15th each year, incorporating the new claims denial data and other comparative information across all managed care organizations and the 15 largest health insurers.

Effective dates: Claims denial reporting provisions effective July 1, 2010; consumer report card provisions effective January 1, 2011.