HB0272 - Health Insurer Claims Assessment Act

• Creates a 1% assessment on all paid claims by health insurance carriers and third-party administrators, effective for dates of service beginning January 1, 2020.

• Assessment capped at $10,000 per insured individual or covered life annually, with exemptions for federal employee health benefits, Medicare, Medicaid, Tricare, and certain supplemental insurance.

• Carriers must develop a uniform methodology to collect assessments as a percentage of premiums for insured coverage or as a percentage of actual paid claims for self-funded plans.

• Carriers and third-party administrators must file quarterly returns by April 30, July 30, October 30, and January 30, paying the assessment to the Department of Revenue at the time of filing.

• All revenue collected deposited into the Healthcare Provider Relief Fund and used exclusively to fund Medicaid services administered by the Department of Healthcare and Family Services.