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Assess the solvency impacts/concerns for health insurers as a result of the recently passed Affordable Health Care for America Act (H.R. 3590) and recommend charges for the appropriate Financial Condition (E) Committee groups to address these impacts/concerns.
2013 Charges
The Health Reform Solvency Impact (E) Subgroup will
- Monitor and assess the solvency impacts/concerns for health insurers as a result of the federal Patient Protection and Affordable Health Care for America Act (PPACA) and recommend charges for the appropriate Financial Condition (E) Committee groups to address these impacts/concerns.—Essential
- Develop a reconciliation between the Supplemental Health Care Exhibit and the Department of Health and Human Services Medical Loss Ratio rebate form for analysis / audit purposes for 2012 reporting year, and further determine whether a supplemental reconciliation reporting form should be developed for 2013 and beyond.—Essential
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Supplemental Health Care Exhibit (SHCE) - Preliminary Medical Loss Ratio (MLR) Cautionary Statement |
Conference Call Summaries
- April 15, 2010
- April 21, 2010
- April 29, 2010
- May 5, 2010
- May 12, 2010
- May 19, 2010
- May 27, 2010
- June 3, 2010
- June 17, 2010
- June 24, 2010
- July 1, 2010
- October 7, 2010
- December 6, 2010
- December 20, 2010
- February 2, 2011
- March 9, 2011
- May 11, 2011
- May 25, 2011
- June 9, 2011
- June 23, 2011
- August 23, 2011
- October 18, 2011
- October 24, 2011
- October 27, 2011
- February 21, 2012
- April 16, 2012
- April 23, 2012
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Comments from 2/2/11 Conference Call (combined PDF) |
| Comments from 12/20/10 Conference Call (combined PDF) |
| Blanks Proposal 2011-30BWG as exposed by Blanks (E) Working Group |
As Adopted by Financial Condition (E) Committee
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| Outstanding Issues for Supp Health Care Exhibit |
| Summary of Comments |
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- AHIP Blanks Exhibit
- Comment Letter: American Benefits Council, 5/11/10
- Comment Letter: HMS, 5/11/10
- Comment Letter: HTH Worldwide, 5/11/10
- Comment Letter: Kaiser, 5/11/10
- Comment Letter: Vermont Department of Banking, Insurance, Securities and Health Care Administration, 5/11/10
- Comment Letter: XL Health, 5/11/10
- Comment Letter: Alliance of Community Health Plans, 5/10/10
- Comment Letter: Federation of American Hospitals, 5/10/10
- Comment Letter: National Retail Federation, 5/10/10
- Comment Letter: Healthways, 5/9/10
- Comment Letter: American Academy of Actuaries, 5/8/10
- Comment Letter: Case Management Society of America, 5/7/10
- Comment Letter: Communicating for America, 5/7/10
- Comment Letter: Council for Affordable Health Insurance, 5/7/10
- Comment Letter: Senator Rockefeller, 5/7/10
- Consumer Implementation Recommendations, 5/7/10
- Comment Letter: Academy of Managed Care Pharmacy, 5/6/10
- Comment Letter: AHIP, 5/6/10
- Comment Letter: American Specialty Health, 5/6/10
- Comment Letter: BCBSA, 5/6/10
- Comment Letter: California Department of Insurance, 5/6/10
- Comment Letter: Ohio Department of Insurance, 5/6/10
- Comments: URAC, 5/5/10
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- Comment Letter: Health Dialog, 5/4/10
- Comment Letter: NCQA, 5/4/10
- Comment Letter: Healthways, 5/3/10
- Comment Letter: Pharmaceutical Care Management Association, 5/3/10
- Comment Letter: American Specialty Health, 4/30/10
- Comment Letter: Assurant Health, 4/30/10
- Comments: BCBSA, 4/30/10
- Comment Letter: DMAA, 4/30/10
- Comment Letter: Molina Healthcare, 4/30/10
- Comment Letter: NAIC Consumer Representatives, 4/30/10
- Comment Letter: NAIC Consumer Representative Working Groups - Cover Letter, 4/30/10
- Letter to HHS Secretary Sebelius from IHC Group, 4/29/10
- Comments: BCBSA, 4/27/10
- Comment Letter: American Academy of Actuaries, 4/20/10
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Cost Containment Definition from SSAP 85 |
| Senate Reconciliation Language on MLR |
| Health
Blank 2009 COMP Writer Analysis [xls] |
AHIP Chart on MLR
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| AAA MLR Questions |
| Discussion Draft of Health Blank Supplement |
| 2009 Cost Containment Expense Data Reported by Selected Health Insurers |
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Minutes for the four most recent NAIC National Meetings are available free for meeting attendees and members. Members may access minutes via StateNet. If you do not know your User ID or password, please contact the NAIC Help Desk. |
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Mary Caswell
Data Quality Audit Manager
Phone: 816.783.8409
Fax: 816.460.7686 |
Lou Felice
Health and Solvency Policy Advisor
Phone: 212.386.1956
Fax: 816.460.1774 |
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