HB1282: requiring insurance companies to send a copy of any claim which is denied to the insured and to the provider.

HB 1282-FN – AS INTRODUCED

2010 SESSION

10-2535

06/01

HOUSE BILL 1282-FN

AN ACT requiring insurance companies to send a copy of any claim which is denied to the insured and to the provider.

SPONSORS: Rep. F. Holden, Hills 4; Rep. Mead, Hills 4

COMMITTEE: Commerce and Consumer Affairs

ANALYSIS

This bill requires insurance companies to send a copy of any claim which is denied to the insured and to the provider.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

10-2535

06/01

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Ten

AN ACT requiring insurance companies to send a copy of any claim which is denied to the insured and to the provider.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 Minimum Standards for Claim Review; Accident and Health Insurance. Amend the introductory paragraph of RSA 415-A:4-a, I(c) to read as follows:

(c) The notification of a claim denial shall be communicated to both the claimant and the provider in writing or by electronic means and shall include:

2 Effective Date. This act shall take effect 60 days after its passage.

LBAO

10-2535

11/16/09

HB 1282-FN - FISCAL NOTE

AN ACT requiring insurance companies to send a copy of any claim which is denied to the insured and to the provider.

FISCAL IMPACT:

The Insurance Department states this bill may increase state general fund revenue, county expenditures, and local expenditures by an indeterminable amount in FY 2010 and each year thereafter. There is no fiscal impact on state expenditures or county and local revenue.

METHODOLOGY:

The Insurance Department states this bill requires insurance companies to send a copy of any claim which is denied to the insured and to the provider. The Department assumes this will create additional administrative expenses for the companies. To the extent these additional expenses result in premium increases, premium tax revenue will increase. County and local expenditures would increase to the extent they purchase insurance and the insurance companies have increased rates as a result of costs associated with providing the notifications of claim denial. The State health plan nor its third party administrator facilitating the plan would be subject to this legislation because the State is self-insured.