CONCORD, New Hampshire, Nov. 20 — The New Hampshire Division of Insurance coverage issued the next information launch:
New Hampshire Insurance coverage Division (NHID) Commissioner Christopher Nicolopoulos issued a bulletin reminding insurers of their statutory obligations respecting supplier directories, together with detailing current legislative modifications that will likely be efficient January 1, 2022.
All insurers providing or issuing insurance policies of well being and dental insurance coverage in New Hampshire that embrace a supplier community are required to keep up for every plan a present and correct digital supplier listing that’s publicly accessible. The digital listing should embrace, in plain language, an outline of standards utilized by the insurer to construct the community for every plan.
The supplier listing should be open and searchable, and embrace particular skilled info for well being care professionals, hospitals and different medical amenities. The bulletin outlines particular necessities for detailing info relating to tiered plans and choose innetwork companies. Moreover, supplier directories should additionally embrace (1) a customer support e mail and phone quantity or (2) an digital hyperlink that can be utilized to inform the insurer of inaccurate info on the supplier listing.
“Insurers are required to replace their supplier directories at the least month-to-month and should periodically audit their directories for accuracy,” stated Tyler Brannen, NHID’s Director of Life and Well being. “Documentation of such audits should be retained and supplied to the Division upon request.”
“Transparency in healthcare protection is necessary to making sure a sturdy insurance coverage market within the Granite State,” stated NHID Commissioner Christopher Nicolopoulos. “Within the occasion that the NHID turns into conscious of a sample of inaccuracy, the Division has the enforcement authority to convey carriers into compliance, together with the creation and implementation of motion plans to analysis the extent of, and in the end resolve, any deficiencies in reporting.”
“The significance of correct directories can’t be overstated,” stated Keith Nyhan, NHID’s Director of Shopper Providers. “Customers who unknowingly obtain companies from out of community suppliers too often should pay larger than anticipated out of pocket prices.” The whole bulletin, Docket Quantity INS 21-102-AB, is situated at https://www.nh.gov/insurance coverage/media/bulletins/2021/paperwork/ins-21-102-ab.pdf.