Presentation on types of health plans covered in Model 171 model act

Summary

The NAIC Consumer Representatives’ presentation addresses concerns about the Accident & Sickness Insurance Minimum Standards Model Regulation (#171). They highlight that plans covered by Model 171 often mislead consumers and offer lower value compared to ACA-compliant plans. Key issues include aggressive marketing, lack of comprehensive coverage, and confusion about benefits. They emphasize the need for consistent standards and improved consumer protections. The presentation underscores that non-ACA plans, such as short-term and indemnity plans, often pose significant risks to consumers due to limited coverage and high-profit margins for insurers.

Model.171_110121_CR.Presentation
Presentation on types of health plans covered in Model 171 model act

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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