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House Bill 2015 |
House Author: Smithee |
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Effective: 9-1-07 |
Senate Sponsor: Duncan |
House Bill 2015 amends the Insurance Code to require a health insurance issuer receiving a written request for a written report of claim information from a group health plan, or a sponsor or administrator of such a plan, to provide the report to the requestor in accordance with certain delivery requirements. The bill specifies the claim information to be contained in the report and the disclosure limitations for such information, and allows a plan sponsor to receive certain protected health information in such a report only after an authorized representative of the sponsor certifies that the use and disclosure of the documents will be limited according to certain criteria. After reviewing the report, the requestor may ask the issuer for additional information on the prognosis or recovery or the case management information on specified individuals, which the issuer must provide, with certain exceptions. An issuer that complies with these provisions is not liable for civil damages for, or subject to criminal prosecution for, releasing the information; an issuer that does not comply with these provisions is subject to administrative penalties. These changes apply to a report of claim information that is requested on or after January 1, 2008.