HB 1088 Summary

• Requires health care provider contracts with insurers to be in writing and prohibit providers from collecting from insured if insurer fails to pay; prevents providers from suing insureds for unpaid insurer obligations.

• Mandates insurers maintain insolvency plans ensuring continuation of benefits for the contract period and for inpatients until discharge, with options including insurance coverage, provider contract provisions, reserves, or letters of credit.

• Requires limited benefit plans to display conspicuous 14-point boldface disclaimer stating coverage does not satisfy Affordable Care Act minimum essential coverage requirements.

• Expands Hawaii Life and Disability Insurance Guaranty Association to include dental insurance with a new fourth account and coverage limit of $3,000 per dental policy per year.

• Allows insurers to recoup guaranty association assessments through annual surcharges on premiums, with excess recoverable credited to policyholders and separate accounting submitted to the association.