Establishes special enrollment period for covered persons whose in-network health care provider leaves network of health benefits plan.
Establishes procedure for removal of health care facility from provider network and certain circumstances to allow for special enrollment period.
An Act Concerning Standards And Requirements For Health Carriers' Provider Networks And Contracts Between Health Carriers And Participating Providers.
Establishes special enrollment period for individual health plan enrollees and dependents when health care providers become out-of-network.
Requires DOBI to develop system to require carriers to consult with health care providers on tiered network managed care plans.
Requires health insurance carriers to provide adequate network of physicians.
Requires health insurance carriers to provide adequate network of physicians.
Requires carriers to disclose selection standards for placement of health care providers in tiered health benefits plan network; establishes oversight monitor to review compliance.
Requires audits of managed care plan provider networks.
Concerns carrier networks and health care providers in which carrier has financial interest.