Chapter 04-196

2004 -- S 2693 SUBSTITUTE A

Enacted 06/28/04

A N A C T

RELATING TO INSURANCE

Introduced By: Senator Elizabeth H. Roberts

Date Introduced: February 11, 2004

It is enacted by the General Assembly as follows:

     SECTION 1. Chapter 27-18.6 of the General Laws entitled "Large Group Health

Insurance Coverage" is hereby amended by adding thereto the following section:

27-18.6-11. Health insurance plan payment and expense reporting. - - (1) A health

insurance carrier: (a) providing proposed rate, premium, fee, or other prospective cost

information in connection with an offering of health insurance coverage to a large group or large

employer setting forth claims cost as an element of cost; or (b) providing information to a large

group or large employer (as so defined) regarding claims paid, shall be required to distinguish, set

forth and itemize as separate and distinct elements of cost: (i) sums actually payable (or paid) to

health care providers; and (ii) sums actually (or proposed to be) retained or paid by the carrier for

administration, including, but not limited to, sums relating to claim services, managed care fees,

network access fees, and contributions to reserves.

     SECTION 2. This act shall take effect on January 1, 2005.

=======

LC02631/SUB A

=======