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Around the PIA Western Alliance States

Posted By Administration, Tuesday, June 2, 2015

California Commissioner Approves Rideshare Insurance

California Insurance Commissioner Dave Jones said as demand for ridesharing or ride-hailing services continues to increase for business and personal travel, closing insurance gaps to protect consumers is a priority.

In a news release, Jones said he has approved a new insurance product submitted by Farmers Insurance that closes the gap in insurance coverage for drivers driving for ride-hailing companies such as UberX, Lyft and Sidecar.

Closing the insurance gaps in ride-hailing coverage is essential to making sure passengers, other drivers and pedestrians are protected when ride-hailing vehicles are on the road. Im pleased to see Farmers, one of California's major insurers, offer a product that closes the coverage gap, Jones said.

The new product covers period one which begins once a driver turns on the ride-hailing application and is awaiting a match. Periods two and three the match and transport period are covered by the ride-hailing company's insurance. The new policy enables drivers to select coverages that fit their needs, including comprehensive and collision coverages, uninsured and underinsured motorist coverages and medical payments coverage. Including Farmers ride-hailing coverage to a driver's policy will add 8 percent to a customer's premium.

Farmers Group CEO Jeff Dailey said, We recognize the sharing economy will continue to have a long lasting effect on our state and we are committed to continue to work with the commissioner and the entire department on innovative solutions for the benefit of California's consumers.

Source: California Department of Insurance


Nevada Rideshare Bill Finally Done

The Nevada Legislature has finally passed a ridesharing regulation bill. It took weeks but its done. The bill creates regulations for transportation network companies like Uber and Lyft.

It lets people hail a ride through those companies and puts a 3% fee on taxi and ride sharing companies.

The bill is now before Governor Brian Sandoval who is expected to sign.

Source link: insurancejournal.com


New Mexico Uber & Cabs Sue Over Rules

Proving that politics can make strange bed fellows, Uber has joined a group of cab companies and theyre filing suit in the New Mexico Supreme Court over regulations on ridesharing put forth by the Public Regulation Commission.

Uber says the rules are too burdensome and the taxi firms say the rules are too easy for Uber.


Oregon — Adoption of Uniform Prescription Drug Prior Authorization Request Form

Adopt: OAR 836-053-1205. This new permanent rule adopts requirements for payers to accept a uniform prescription drug prior authorization form. This requirement was established by the 2013 Legislative Assembly in Senate Bill 382. Acceptance of a uniform form by all payers in Oregon is expected to streamline and simplify requests for prior approval for prescription drugs prescribed by providers. The rule applies to payers as defined in ORS 743.061 which includes health insurers, third party administrators, prepaid managed care health services organizations, any person or public body that either individually or jointly establishes a self-insurance plan, program, or contract, including but not limited to persons and public bodies that are otherwise exempt from the Insurance Code under ORS 731.036, health care clearinghouses or other entities that process or facilitate the processing of health care financial and administrative transactions from a nonstandard format to a standard format, and any other person identified by the department that processes health care financial and administrative transactions between a health care provider and an entity described in this subsection.

The rule does not require payers to reject a request for prior authorization for a prescription drug if the provider submits a form other than the uniform form, but it does require a payer to accept the form whenever it is used by a provider to submit a request.

The requirement to accept this uniform prior authorization form applies to payers on and after July 1, 2015 as established in Senate Bill 382.

Adopted: May 27, 2015

Effective: May 27, 2015

For more information, please visit the Division's website:



Oregon Agent 2014 Cover Oregon Commission

In last weeks Agent Bulletin, Cover Oregon announced that the final scheduled 2014 commission deposit would take place the last week of May. That final deposit has been rescheduled and will now be made no later than June 10.

The good news is that Cover Oregon received unexpectedly large data files from carriers this week. This means, however, that it will take us longer to reconcile and process the final deposit.

We will still distribute a final report to you that confirms the total commission that Cover Oregon has passed through to you for each of your 2014 clients. These reports will be sent after the final commission payment is made.

Over the next week we will continue to analyze commission deposits, recoveries and gaps, to identify outstanding balances to reconcile in our final deposit.

To calculate outstanding commission amounts, our team has:

  Analyzed consumer account eligibility

  Verified the active months of coverage

  Calculated the expected commission for that coverage period

  Confirmed what we have passed through

  Defined the remaining balance of commission to pass through


The balance is what we will deposit to you or your agency no later than June 10, following the same process weve used in past months: making an electronic deposit then sending a secure email that includes a statement detailing the deposit.

As a reminder, this process is only for commission for 2014 coverage and does not impact your commission for 2015 business. If you have questions about commission for 2015 coverage, please contact the carrier(s) directly.

Thank you for your understanding as we work to finalize all agent commission activity by June 30, 2015.


Oregon Notice of extension of public comment period regarding the pending acquisition of control of Trillium Community Health Plan, Inc., by Centene Corporation:

Trillium Community Health Plan, Inc. is an Oregon corporation and an Oregon domiciled Health Care Service Contractor, and is controlled by Agate Resources, Inc., an Oregon corporation. Centene Corporation, a publicly traded Delaware corporation, has entered into an agreement with Agate to acquire control of Agate through a merger of a wholly owned subsidiary of Centene with and into Agate, with Agate as the surviving corporation in the merger. As a result of the merger, the shareholders of Agate will be entitled to cash consideration and Centene will become the sole shareholder of Agate and thereby gain control of Agate and Trillium.

This matter is currently pending as the Division conducts a thorough analysis of the transaction.

Public Comment

The public comment period has been extended and comment will be accepted in writing until Friday, June 12 at 5 p.m. Written comments must be received by the Insurance Division by the deadline. Written comments may be submitted via e-mail to ryan.w.keeling@oregon.gov or by mail to Ryan Keeling, Financial Regulation Section, Oregon Insurance Division, P.O. Box 14480, Salem, OR 97309-0405.

Tags:  Around the PIA Western Alliance States  Insurance Content  Insurance Industry  Insurance News  Weekly Industry News 

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