Relating to health insurance rate review; declaring an emergency.
Catchline/Summary:
Requires insurer offering health benefit plans to provide annual notice to policyholders of specified information about Department of Consumer and Business Services' rate review process . Requires insurer offering health benefit plans to provide annual notice to policyholders and certificate holders] of specified information about Department of Consumer and Business Services' rate review process and consumer advocacy unit]. Requires insurers to provide opportunity for enrollees to subscribe to electronic mailing list for rate filings.Limits public comment period for premium rate filings by individual, portability or small employer health insurers to health benefit plans offered by those insurers.]
Requires department and Oregon Health Authority to jointly develop standards and metrics for health insurers' cost containment strategies and incorporate standards into premium rate review process. Requires department and authority to establish process for jointly expanding or refining cost containment strategies that may be considered in reviewing rate filings. Applies to rate filings for coverage beginning on or after January 1, 2015.
Requires department to establish by rule, and using public process, methodology for projecting medical cost trends for use by insurers in calculating proposed rates. Requires department to specify exceptions to use of methodology. Applies to rate filings for coverage beginning on or after January 1, 2015.
Requires Director of Department of Consumer and Business Services to post to website of department of Consumer and Business Services] detailed explanation for approval of any health insurance rate filing that increases rates. Makes consideration of certain criteria related to approval of such rate increases mandatory.
Declares emergency, effective October 1, 2013.
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