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Regulatory News

The Insurance Department issues a notice about Public Act No. 07-25, which concerns reporting of medical malpractice closed claim data. Medical professional is defined to include any person licensed or certified to provide health care services to individuals. www.ct.gov/cid/cwp/view.asp?Q=317306&A=1271  

Texas-based MEGA Life and Health Insurance Co. must pay up to $500,000 if it does not fix multiple violations for steering consumers into individual rather than group health plans, failing to provide state-required coverages, engaging in deceptive and improper marketing, mishandling consumer complaints and failing to institute adequate management controls. www.delawareinsurance.gov  

Property-casualty insurers must use the National Association of Insurance Commissioners System for Electronic Rate and Form Filing (SERFF) when filing rates or forms with the insurance regulators, says Bulletin 07-IB-002-911. http://disr.dc.gov/disr/site/default.asp  

The insurance department approved a 19.3% cut in workers comp rates after the National Council on Compensation Insurance (NCCI) filed for a 16.8% reduction. The Insurance Division’s analysis of the filing determined “that the facts justified additional savings for Hawaii’s businesses.” If insurers adopt the NCCI loss cost filing, they will then calculate the additional components to construct insurance premiums for commission approval. Once approved, rates will take effect Jan. 1, 2008.  www.hawaii.gov/dcca/areas/ins/main/press_releases/  

Bulletin 07-9, addressing carriers and producers offering benefit plans, provides guidance on “list billing,” a program often used to substitute for traditional employer sponsored health plan, particularly in the small employer market. The practice might be intended to avoid state or federal requirements applicable to group health plans. The Bulletin advises against list billing. www.doi.idaho.gov/laws/07_9.pdf  

Larry Bruning, chief actuary for the Insurance Department, is elected and installed as a director of the American Academy of Actuaries. Bruning, who has 29 years of experience as an actuary, became an Academy director Oct. 3. He has been with the insurance department since 2003. www.ksinsurance.org/  

Insurance regulators posted an updated list of mandated health insurance benefits to its Web site. http://doi.ppr.ky.gov/Kentucky/Documents/Health/mb0907rev.pdf  

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