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H0665.................................................by HEALTH AND WELFARE
HEALTH INSURANCE - Adds to existing law relating to health insurance to
require annual reports by carriers to the director of the Department of
Insurance; to provide for the information to be submitted; to require the
director to prepare and publish a comparative policy report; and to require
that a report summary be published on the director's website.
02/13 House intro - 1st rdg - to printing
02/14 Rpt prt - to Bus
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 665
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO HEALTH INSURANCE; AMENDING CHAPTER 47, TITLE 41, IDAHO CODE, BY
3 THE ADDITION OF A NEW SECTION 41-4714, IDAHO CODE, TO REQUIRE ANNUAL
4 REPORTS BY CARRIERS TO THE DIRECTOR OF THE DEPARTMENT OF INSURANCE, TO
5 PROVIDE FOR THE INFORMATION TO BE SUBMITTED, TO REQUIRE THE DIRECTOR TO
6 PREPARE AND PUBLISH A COMPARATIVE POLICY REPORT, AND TO REQUIRE THAT A
7 REPORT SUMMARY BE PUBLISHED ON THE DIRECTOR'S WEBSITE.
8 Be It Enacted by the Legislature of the State of Idaho:
9 SECTION 1. That Chapter 47, Title 41, Idaho Code, be, and the same is
10 hereby amended by the addition thereto of a NEW SECTION, to be known and des-
11 ignated as Section 41-4714, Idaho Code, and to read as follows:
12 41-4714. POLICY REPORTING. (1) Each year, on a date and in a format set
13 by the director, each carrier must submit the following information for each
14 of the health benefit plans the carrier offers under this chapter:
15 (a) The number of applicants approved for coverage and the number of
16 applicants denied;
17 (b) The percentage of average premium increase upon renewal for the pre-
18 vious four (4) years;
19 (c) The percentage of renewing policyholders who upon renewal opt to
20 increase any or all out-of-pocket costs including, but not limited to,
21 deductibles, copayments and coinsurance;
22 (d) The average period of time a policyholder retains coverage through
23 the policy;
24 (e) The percentage of premium dollars used to pay medical claims;
25 (f) The services covered and limitations on those services;
26 (g) The index rate;
27 (h) The average premium charged;
28 (i) The percentage of subscribers charged a premium above the index rate
29 and the percentage of subscribers charged a premium below the index rate;
30 (j) The charges in addition to premiums; and
31 (k) Other information as the director may determine.
32 (2) In addition, each carrier must submit to the director on a date and
33 in a format set by the director the overall administrative expenditures of the
34 carrier, broken down to include the compensation of the top five (5) execu-
35 tives, lobbying expenses, advertising and marketing expenses and product
36 design expenses;
37 (3) Based on the information provided by carriers under subsections (1)
38 and (2) of this section, the director must prepare and publish a comparative
39 policy report including the information provided by carriers pursuant to sub-
40 sections (1) and (2) of this section. The summary must be formatted and
41 drafted in a way that facilitates ease of understanding by customers and
42 potential customers.
43 (4) The summaries must be posted on the director's website and otherwise
2
1 made available to insurance agents and consumers.
STATEMENT OF PURPOSE
RS 16013
This legislation is known as the Idaho Health Insurance
T.R.U.T.H. Act (Transparency in Reporting for Understanding,
Trust, and Honesty).
The purpose of this legislation is to require that carriers of
small group health insurance products report certain information
on an annual basis. This will enable consumers of health care to
have better information when making purchasing decisions.
FISCAL IMPACT
There is no fiscal impact.
CONTACT
Name: Representatives McGeachin, Loertscher
Phone: 332-1000
STATEMENT OF PURPOSE/FISCAL NOTE H 665