2006 Legislation
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HOUSE BILL NO. 665 – Health insurance policy, reports

HOUSE BILL NO. 665

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Bill Status



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

Bill Text


                                                                        
                                                                        
  ]]]]              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 / Fiscal Impact



                       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