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NC H688
Bill
Status
Engrossed
5/4/2023
Primary Sponsor
Erin Pare
Click for details
AI Summary
- Changes the definition of "small employer" from employers with fewer than 20 employees to employers with fewer than 5 eligible employees for purposes of stop loss, catastrophic, and reinsurance coverage
- Maintains minimum annual attachment point of $20,000 per individual claim for stop loss policies, with future adjustments indexed to the Consumer Price Index for Medical Services rounded to the nearest thousand dollars
- Requires annual aggregate attachment point to be the greater of 120% of expected claims or $20,000 (indexed annually), with the same Consumer Price Index adjustment methodology
- Allows insurers to provide additional incentives to small employers for benefits promoting medical homes, health screenings, and outcome-based or performance-based reimbursement arrangements
- Becomes effective October 1, 2023, and applies to contracts issued, renewed, or amended on or after that date
Legislative Description
Increase Access for Small Employers/Insurance
Commerce; Corporations
Last Action
Ref To Com On Rules and Operations of the Senate
5/4/2023
Committee Referrals
Rules and Operations of the Senate5/4/2023
Rules, Calendar, and Operations of the House5/3/2023
Insurance4/26/2023
Health4/19/2023
Full Bill Text
No bill text available