STATE HEALTH PLAN/REFUNDS FOR NO COVERAGE.

View NCGA Bill Details2011-2012 Session
Senate Bill 6 (Public) Filed Thursday, January 27, 2011
TO REQUIRE THE STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES TO REFUND PREMIUMS PAID WHEN THE PLAN DID NOT ACTUALLY PROVIDE COVERAGE.
Intro. by Berger of Franklin.

Status: Re-ref Com On Appropriations/Base Budget (Senate Action) (May 5 2011)

Bill History:

S 6

Bill Summaries:

  • Summary date: May 5 2011 - More information

    Senate committee substitute makes the following changes to 1st edition. Changes the effective date to April 1, 2011 (previously July 1, 2008).


  • Summary date: Jan 27 2011 - More information

    Enacts new GS 135-45.12A providing that the cited health plan must (except in cases of fraud) refund premiums paid for months during which a subscriber or dependent was in fact not covered because the individual was ineligible. The plan may deduct any claims paid on behalf of the ineligible person and reasonable administrative costs related to the subscriber’s failure to notify the plan of a coverage category change in a timely manner. Provides that subscriber may, regardless of the refund, still owe the plan reimbursement for claims paid during the period of ineligibility. Effective July 1, 2008.


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