(at the request of Senate Interim Committee on Health Care, Human Services and Rural Health Policy)
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Regular Sponsors:
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Bill Title:
Relating to health insurance; and declaring an emergency.
Catchline/Summary:
Exempts insurer from requirement to send notice of cancellation of health benefit plan if cancellation is due to nonpayment of premium. Exempts insurer from requirement to send notice of cancellation of health benefit plan if cancellation is due to nonpayment of premium.
For group health insurance plans, requires notice to spouse of continuation coverage only if plan has 20 or more certificate holders or employer has 20 or more employees.
Delegates to Director of Department of Consumer and Business Services authority to prescribe information required to be included in notice triggered by qualifying event.
Prohibits individual health benefit plan from imposing annual limits on essential health benefits.
Modifies definition of "grievance" for purposes of filing grievance.
Requires insurer to establish procedures for enrollee to continue ongoing course of treatment pending appeal of adverse benefit determination.
Requires opportunity for review if patient is denied request for treatment on basis of lack of medical necessity.
Makes changes operative retroactive to June 23, 2011.
Declares emergency, effective on passage.
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SB 1504
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