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SF 3480 Senate Long Description

3E Relating to commerce; requiring commissioner of commerce approval of insurance license education course sponsors; regulating initial insurance education sponsor approval requirements; enacting the Interstate Insurance Product Regulation Compact Act, specifying the form; requiring the commissioner to opt out by regulation of any uniform standard permitting a product to deny a consumer access to the courts to resolve a dispute related to the product; modifying certain form approvals, coverages, filings, utilization reviews and claims provisions; regulating the filing and use of individual health insurance policy forms and establishing a minimum loss ratio guarantee; clarifying dependent coverage premium payments for adopted children; requiring coverage for diabetes except for those covered under the medicare part D program; mod ifying coverage in the medicare supplement plan; modifying certain basic medicare
supplement plan coverages; authorizing health carriers to request approval by the commissioner of commerce to establish separate geographic areas for reductions in premiums for small employer health insurance in greater Minnesota; exempting premium rates filed with the commissioner of commerce accompanied by a minimum loss ratio guarantee from certain approval requirements; modifying health insurance writing carriers provisions; requiring pharmacies to disclose certain cost information; modifying Minnesota uniform health care identification card appearance requirements; requiring health plan companies to disclose
certain estimated payments to enrollees under certain conditions; enacting the ¿Hospital Pricing Transparency Act¿; authorizing health care providers to provide care to patients as discounted payment amounts; modifying the definition of qualifying coverage; regulating small employer insurance coverages; prohibiting insurers or utilization review committees from denying coverage based solely on the grounds the treatment does not meet evidence based standards; clarifying utilization review organization reporting requirements; authorizing the commissioner to use reports submitted health plan companies, service cooperatives and public employee insurance programs to compile entity specific administrative efficiency reports; establishing a community based health care coverage program, determining the scope of the program, defining certain terms, giving the commissioner of health approval authority, specifying qualifications for both employees and employers, instructing providers
participating in the community-based health network to accept payment according to the established rate, clarifying benefit coverage, providing for a clear and concise statement for enrollees containing certain information, establishing a complaint resolution process as well as a data privacy policy, permitting the initiative to limit enrollment, providing quarterly progress reports to the commissioner of health, sunset provision; extending limitation periods for certain long term care insurance policy holders; modifying the mandatory format for long term care insurance policies; modifying contents of long term care insurance policy summaries; providing for the death of the insured; providing
for the use of level premium; providing an exception for authorized limitations and exclusions for expenses for services or items available or paid to another long term care insurance or health insurance policy; modifying renewability provisions; modifying certain required question provisions; requiring aents to list all other health insurance polices sold to applicants and still in force or sold within a certain period of time and no longer in force; clarifying solicitations for accident and sickness coverage; regulating life insurance policies accelerating benefits for long term care; providing for the exchange of long term care partnership polices under certain conditions; defining claim; modifying reporting requirements; excluding life insurance policies accelerating benefits for long term care from the minimum loss ratio; providing for the nonforfeiture benefit requirement for group long term care insurance policy; modifying standards for marketing requirements; requiring and providing for the
development and use of suitability standards, specifying procedures, requiring annual reports to the commissioner of commerce; requiring the commissioner to approve insurer and producer training requirements in accordance with NAIC long term care insurance model act provisions; modifying an automobile insurance basic economic loss benefits provision for senior citizens; modifying the time period for insurance rates public availability; modifying the determination of usual and customary payments, standard payments and allowable payments by health
care providers; modifying policy renewal provisions; defining assigned risk plan and employer under workers compensation insurance for assigned risk rating plan purposes; specifying commissioner jurisdiction over all assigned risk plan loss reserves, specifying assigned risk rating plans, minimum qualifications and disqualifying factors; providing for occupational disease exposure; authorizing the Minnesota self insurers security fund to undertake an independent actuarial review or study of private self insurers estimated future liability; clarifying operational audit provisions; modifying reporting requirements to licensed data service organizations; authorizing school district service cooperatives to offer
health insurance programs including programs providing reinsurance and stop loss coverage; authorizing group health, dental and long term disability programs provided by service cooperatives to provide coverage to nursing homes; requiring service cooperatives to permit school districts and other political subdivisions to engage in health coverage pool comparison shopping under certain conditions; modifying provisions relating to the long term care partnership program; providing for exchange for long term care partnership policy and addition of a policy rider under certain conditions; modifying medical assistance eligibility; providing for long term care partnership policy inflation protection; eliminating total asset protection policies provisions; modifying compliance with federal law provisions; modifying certain provisions relating to limitations on estate recovery; requiring the commissioner of human services, in
cooperation with the commissioner of commerce, to pursue federal law changes or waiver necessary to implement the program and to submit a state plan amendment to the federal government for implementation purposes; specifying limitations on liens; providing for burden of proof; expanding a certain commissioner case management services report requirement to include representatives from labor organizations representing county social service workers; requiring and providing for the commissioner of commerce to annually provide to the legislature a report on the status of the market for medical malpractice insurance; repealing a health plan companies discounted payments provision and certain rules

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