Recommendations for Changes to NAIC HMO Model Act (#430)

Summary

Dated March 18, 2020, this letter from NAIC Consumer Representatives provides recommendations for the NAIC’s Health Maintenance Organization Model Act (#430). It emphasizes the importance of retaining consumer protections in sections related to continuation of benefits and open enrollment. The letter also suggests maintaining current text with clarifying drafting notes to aid state officials in updating their laws in response to Model Act #520.

Commen.Ltr_-CR-Recs-for-Changes-to-NAIC-HMO-Model-Act-430_03.2020
Recommendations for Changes to NAIC HMO Model Act (#430)

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Prescription drugs
Other health
Other
Mental and behavioral health
Major reports
Long term care
Health equity
Appeals, denials, and prior authorization