Amends GS 58-50-130(a)(5), prohibiting insurers from issuing a specific stop-loss policy at an amount less than $60,000 per covered life or any aggregate stop-loss policy to a self-insured small employer with 20 or fewer eligible employees unless the self-insured small employer (1) provides a medical home that provides health care screenings for its employees, (2) is focused on outcomes and key performance indicators, and (3) is reimbursed on an outcomes rather than fee-for-service basis.
Applies to stop-loss policy contracts entered into, amended, or renewed on or after October 1, 2013.
|View NCGA Bill Details||2013-2014 Session|
A BILL TO BE ENTITLED AN ACT TO PROHIBIT CERTAIN STOP-LOSS INSURANCE FOR EMPLOYERS WITH FEWER THAN TWENTY EMPLOYEES, UNLESS THE EMPLOYER PROVIDES A MEDICAL HOME FOR ITS EMPLOYEES.Intro. by Murry, Collins.
Status: Ref To Com On Insurance (House Action) (Apr 15 2013)
Bill H 934 (2013-2014)Summary date: Apr 16 2013 - More information