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MS HB628
Bill
Status
3/22/2019
Primary Sponsor
Gary Chism
Click for details
AI Summary
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Increases interest penalty on overdue health insurance claims from 1.5% to 3% per month, accruing from the day after payment was due until the claim is settled.
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Exempts Medicare Advantage and Medicare Advantage Prescription Drug plans from the 3% monthly interest penalty provision.
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Adds bad faith damages provision allowing claimants to recover up to three times the unpaid benefit amount if an insurer demonstrates a repeated or deliberate pattern of failing to pay claims when due.
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Establishes administrative penalties for insurers with poor claim payment compliance rates: up to $10,000 for 85-95% compliance, $10,000-$100,000 for 50-85% compliance, and $100,000-$200,000 for less than 50% compliance.
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Clarifies that system errors attributable to the insurer do not change the "clean claim" status, requiring payment within 25-35 days depending on submission format.
Legislative Description
Health insurance; revise mandatory policy provisions to penalize late payments of claims.
Last Action
Approved by Governor
3/22/2019