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Around the PIA Western Alliance States

Posted By Administration, Tuesday, March 26, 2019

Arizona — Department Consolidation: Arizona Governor Doug Ducey wants Department of Insurance head Keith Schraad to lead the Arizona Department of Financial Institutions on a temporary basis.

Actually, it’s not all that temporary. The two agencies are being consolidated into one.

Bob Charlton — who has led that agency for 32 years — is retiring.

Source link: Insurance Journal

Idaho — Medicare Workshops: A pair of Medicare Workshops for individuals turning 65 and those approaching Medicare eligibility will take place in Coeur d’Alene the final week of March. The first session will be held Tuesday March 26 from 1 to 3 p.m., with a second session scheduled for Thursday, March 28 from 5:30 p.m. to 7 p.m.  Both workshops will be held at the Salvation Army Kroc Center, 1765 W. Golf Course Road.

Caregivers and all those interested in learning how Medicare works are encouraged to attend.

The workshops will be led by Senior Health Insurance Benefits Advisors (SHIBA), a unit of the Idaho Department of Insurance.  SHIBA presenters will introduce the various parts of Medicare and explain some of the vocabulary associated with the program. 

Topics to be covered include:


  Timeframes for enrolling in Medicare

  Enrollment periods for Medigap, Medicare Advantage and Prescription Drug Plans

  How the different parts of Medicare work together — and when they don’t

To register for either workshop, please contact the SHIBA Helpline at 1-800-247-4422.

Oregon — From the Department of Insurance: The Oregon Division of Financial Regulation recently adopted the following temporary rule:

ID 04-2019: Amendment to 2020 standard bronze and silver health benefit plans (Temporary)

Rules affected: OAR 836-053-0013

Rule Summary:

Refiled to remove the word "Draft" on Exhibits.

Need for the Rule:

ORS 743B.130 requires the Department of Consumer and Business Services (DCBS) to prescribe by rule the form, level of coverage, and benefit design for bronze and silver health benefit plans that must be offered by insurance carriers. These plans must meet federal requirements issued by the Department of Health and Human Services (HHS). Each year, HHS updates the actuarial value (AV) calculator used for determining coverage levels. Changes may include costs, plan designs, populations, developments in the function and operation of the AV calculator and other actuarially relevant factors.

As a result of changes made to the federal AV calculator for 2020, the AV for the standard bronze and silver plans prescribed in OAR 836-053-0013 exceeded federal requirements. Failure to update the rule would result in DCBS requiring carriers to submit plans that are illegal with respect to federal law.

This year, HHS released the AV calculator later than in previous years. As a result, rulemaking would not be able to be completed in time for carriers to submit plans in May for review.

Filed: March 21, 2019

Effective: March 21, 2019 through September 13, 2019

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

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