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NC S744

Bill

Status

Engrossed

6/9/2011

Primary Sponsor

Neal Hunt

Click for details

Origin

Senate

2011-2012 Session

AI Summary

  • Allows employers with 51 or more covered employees to request claim information reports from their health insurance providers for their group health plans.

  • 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.

  • 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.

  • 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.

  • 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

Committee Referrals

Insurance6/13/2011
Insurance4/27/2011
Health Care4/20/2011

Full Bill Text

No bill text available