Require certain health and accident insurance carriers to provide utilization data within fourteen business days after a written request is received. (8/15/10).
Impact
The enactment of SB135 is expected to enhance transparency in the health insurance industry substantially. By requiring timely disclosure of critical data, the bill allows employer groups to better understand their health insurance options and manage costs effectively. This could lead to improved negotiation power for employers, fostering a more competitive insurance market. Additionally, the availability of comprehensive data may potentially improve the overall quality of health insurance plans as issuers strive to meet the information demands of their clients.
Summary
Senate Bill 135 establishes new requirements for health and accident insurance providers in Louisiana, mandating that issuers must provide specific details to employer groups with more than one hundred enrolled employees. The bill stipulates that at least ninety days prior to the renewal or termination of a group policy, health insurance issuers are required to inform the employer group about the premium rate or amount due for the upcoming policy year. Furthermore, upon written request, insurance providers must supply utilization data and aggregate claims data in a timely manner, specifically within fourteen business days of receiving the request. This legislation is designed to promote transparency in health insurance costs and operations, empowering employers with better information for decision-making.
Sentiment
The sentiment around SB135 appears to be generally positive among advocates for transparency and consumer rights in health insurance. Supporters argue that the bill provides essential tools for employers to make informed decisions and potentially lowers healthcare costs overall. Conversely, some stakeholders in the insurance industry may have reservations, viewing the increased reporting requirements as burdensome and potentially leading to administrative challenges. Nonetheless, the overarching sentiment supports the intent to empower employer groups and promote strenuity in insurance provisions.
Contention
While SB135 is aimed at bolstering transparency, some points of contention could arise regarding the implementation and compliance burdens placed upon health insurance issuers. Critics may argue that the requirement for detailed reporting could lead to an increase in administrative overhead, particularly for smaller insurers. There may also be concerns about how this data will be utilized and whether it could lead to unintended consequences, such as discrimination in premium calculations based on the utilization data provided. Nonetheless, the bill's supporters maintain that the transparency it fosters will ultimately benefit employers and employees alike.
Provides for release of certain group information to the group policyholder or his agent prior to renewal of a group policy. (8/15/11) (RE1 NO IMPACT See Note)