1 / 5

Arizona Department of Insurance

Arizona Department of Insurance. Erin H. Klug February 20, 2019. Arizona’s new Mini-COBRA law – ARS § 20-2330.

cmcclure
Télécharger la présentation

Arizona Department of Insurance

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Arizona Department of Insurance Erin H. Klug February 20, 2019

  2. Arizona’s new Mini-COBRA law –ARS § 20-2330 • A fully-insured, small group health insurance policy issued or renewed after December 31, 2018, must allow a health plan enrollee, including any qualified dependent, to continue coverageafter a qualifying event. • Small employer must notify enrollees in writing -- after one of 10 qualifying events-- of the right to continue coverage under the employer's health benefits plan. • Small employer = average of at least 1 but fewer than 20 employees.

  3. Arizona’s new Mini-COBRA law –ARS § 20-2330 • ADOI’s Sample Notice of Coverage Continuation is available here: https://insurance.az.gov/arizona-sample-notice-continuation-coverage-mini-cobra • A small employer that properly completes and timely issues the Department's form is presumed to satisfy notification requirements.

  4. Arizona’s NEW Surprise Out of Network (SOON) Billing Dispute Resolution • Insurers and providers must notify patients of dispute resolution rights: Surprise Out-of-Network Billing Notice to Enrollee If you receive a bill for $1,000 or more from an out-of-network (non-contracted) provider for services provided at an in-network (contracted) facility, Arizona law may give you the right to a dispute resolution process through the Arizona Department of Insurance. The process begins with you filing a request with the Department. If the bill qualifies for dispute resolution, you or someone you designate to represent you will need to participate in the process. FOR MORE INFORMATION: Visit the Surprise Out-of-Network Bill Dispute Resolution web page at insurance.az.gov/soonbdr.

  5. Arizona’s NEW Surprise Out of Network (SOON) Billing Dispute Resolution • Initiated by the patient who must participate in settlement teleconference • Visit https://insurance.az.gov/soonbdrto learn: • Which “surprise bills” qualify for dispute resolution (many will not) • How to protect yourself from surprise bills • How to use the dispute resolution process • Detailed explanation of the process and rules • Forms for submitting request for dispute resolution

More Related