California — Work Comp Regulatory Filing: The Workers’ Compensation Insurance Rating Bureau of California has submitted its 2020 regulatory filing. California’s Department of Insurance will considering the filing.
It amends the state’s Workers’ Compensation Uniform Statistical Reporting Plan — 1995 and includes amendments to the Standard Classification System. There are also amendments to the Miscellaneous Regulations for the Recording and Reporting of Data — 1995.
Last in the filing are amendments to the California Workers’ Compensation Experience Rating Plan.
All will be effective — if approved — on January 1, 2020.
Source link: Insurance Journal
Idaho — Medicare Workshops: The Idaho Department of Insurance is doing more in its continuing series of Medicare workshops. The workshops are designed to introduce the various parts of Medicare and to share some of the costs and benefits associated with the program.
Sessions cover enrollment timeframes for Medigap, Medicare Advantage, prescription drug plans, and how the different parts of Medicare work together.
Staff with the state’s Senior Health Insurance Benefits Advisors (SHIBA) program — a unit of the Idaho Department of Insurance — conducts the workshops. To register for the upcoming session, please contact the SHIBA Helpline at 1-800-247-4422.
Boise — July 17th
6:00 p.m. to 8:00 p.m.
The Boise Public Library
715 S. Capitol Blvd, 3rd Floor, Marion Bingham Room
Lewiston — July 24th
1pm to 3pm at the Community Action Partnership of Lewiston
124 New 6th St.
6:00 p.m. to 8:00 p.m. at the St. Joseph Regional Medical Center
Conference Room D
415 6th St.
Idaho — Crop Insurance Award: The Farm Bureau Mutual Insurance Company of Idaho has settled a lawsuit from storm damages in July of 2016. The alfalfa seed crop of Nate and Kristan Pancheri was destroyed in that storm.
The couple filed suit and said the company grossly underestimated the value of their crop. After negotiations, the company agreed to pay $3.48 million.
Source link: Insurance Journal
Oregon — From the Oregon Department of Insurance: The Oregon Division of Financial Regulation recently adopted the following rule:
ID 06-2019: Network Adequacy Compliance Requirements
Rules affected: OAR 836-053-0320, 836-053-0330
Rule Summary: Amended to clarify period to which annual report applies; amended to clarify period to which evidence of coverage applies; amended to explain how Medicare Advantage network adequacy standards must be adjusted for the age demographics of the plan’s enrollees; amended to remove the federal network adequacy standards applicable to Qualified Health Plans as an acceptable nationallyrecognized standard to use in demonstrating compliance with Oregon’s network adequacy requirements.
Filed: June 17, 2019
Effective: July 1, 2019
Permanent Administrative Order — https://dfr.oregon.gov/laws-rules/Documents/id06-2019_rule-order.pdf
Summary of Testimony and Hearing Officer's Report — https://dfr.oregon.gov/laws-rules/Documents/id06-2019_ho-rec.pdf
For more information, please visit the Division's website:
Preliminary rate decisions for 2020 health plans revealed
Oregonians can now see the state’s preliminary rate decisions for 2020 individual and small employer health insurance plans. The Division of Financial Regulation must review and approve any rates before they can be charged to policyholders.
Preliminary rate decisions are for individuals who buy their own coverage rather than getting it through an employer and for small businesses.
In the individual market, the division has issued preliminary decisions for seven companies with average rate changes ranging from a 3.2 percent decrease to a 8.9 percent increase, for an average of 2.3 percent. As a comparison, insurers originally requested rates ranging from an average 3.2 percent decrease to an average 13.5 percent increase, for an average of 3.3 percent.
Under the preliminary decisions, Silver Standard Plan premiums for a 40-year-old in Portland would range from $530 to $436 a month.
“Although rates are still rising for many consumers, we are encouraged to see the health insurance market stabilizing,” said Andrew Stolfi, insurance commissioner. “Part of the stabilization is due to the Oregon Reinsurance Program providing some relief, enabling carriers to expand coverage into additional counties and keeping rate increases lower than they could have been without it.
In the small group market, the division has reviewed each company’s rate request and plans to approve the rates as filed. The average rate increases range from a 0.3 percent decrease to a 13.1 percent increase. Under the preliminary decisions, Silver Standard Plan premiums for a 40-year-old in Portland would range from $394 to $328 a month.
See our chart for a full list of preliminary decisions — https://dfr.oregon.gov/healthrates/Documents/2020-pre-prop-rates.pdf
Common trends that affect rates include:
• Medical costs continue to rise, driven by increased use and the cost of new specialized prescription drugs.
• The cost of providing care continues to surpass premiums collected for many carriers.
• Federal policy changes, including the zeroing out of the individual mandate and federal rule changes around short-term limited-duration plans and association health plans, contributed an average of 7 percentage points to rate increases.
• The Oregon Reinsurance Program, which was renewed by the legislature for six more years, continues to lower rates by 6 percent each year.
• These preliminary decisions will undergo continued review and discussion through public hearings held in Salem and streamed online July 2-3. The public comment period also will remain open through 11:59 p.m. Wednesday, July 3.
All Oregonians are encouraged to participate during the public comment period. Visit www.oregonhealthrates.org to see a chart detailing changes to each plan for 2020, review each insurance company’s public hearing schedule, and submit comments regarding specific health insurance company’s rates.
Final decisions are expected to be announced Tuesday, July 23.
Washington — From the Washington Department of Insurance: Notice of rulemaking on Health plan coverage of reproductive healthcare and contraception (R 2019-07)
We are starting rulemaking on Health plan coverage of reproductive healthcare and contraception (R2019-07) to update the WACs and add new sections to align with Chapter 399, Laws of 2019 (2SSB 5602) amending RCW 48.43.072 and adding sections into RCW 48.43.
It is expected that this rulemaking will join with current rulemaking in Insurance Commissioner Matter R 2018-10 in the CR-102 stage, resulting in one rule.
Comments are due July 31, 2019; please send them to email@example.com.
Notice of rulemaking on Confidential Communications (R 2019-03)
We are starting rulemaking on Confidential Communications (R 2019-03). This rulemaking is in support of SSB 5889, requiring health carriers to direct all communications regarding sensitive services directly to the protected individual.
Pre CR-101 stakeholder meeting notice (R 2019-03) — https://www.insurance.wa.gov/sites/default/files/2019-06/pre-cr101-stakeholder-meeting-notice-r2019-03.pdf?utm_content=&utm_medium=email&utm_name=&utm_source=govdelivery&utm_term=
Pre CR-101 stakeholder meeting:
July 18, 2019 at 1:30 PM
Tumwater Office: 5000 Capitol Blvd SE, Tumwater, WA 98501
There will be no call-in option.
The comment period for the Pre CR-101 stakeholder meeting is open until: 07/18/2019.
Please send comments to the firstname.lastname@example.org.