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NC S744
Bill
AI Summary
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Allows employers with 51 or more covered employees to request claim information reports from their health insurance providers for their group health plans.
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Employers can request 36 months of data from current insurers or 12 months from prior insurers, including aggregate paid claims, premiums, member counts, and individual claims reports for employees exceeding $25,000 in annual claims.
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Individual claims reports must use unique identifying codes rather than employee names or personal identifiers, and employers must certify they will comply with HIPAA privacy requirements to receive this information.
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Health insurers must provide requested reports within 30 days in written, electronic, or secure web portal format, and are not liable for releasing information in compliance with this law.
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Insurers that fail to comply are subject to existing penalty provisions, and reports provided to governmental entities are confidential and not public records; the law becomes effective October 1, 2011.
Legislative Description
Transparency in the Cost of Health Care
Last Action
Ref To Com On Insurance
6/13/2011