This bill amends existing law to enhance access to claims data for employers sponsoring self-funded health benefit plans. Specifically, it stipulates that if an employer authorizes the submission of its claims data to the state's comprehensive health care information system, the insurance commissioner is required to provide that employer with access to the claims data associated with their plan on an annual basis. The bill mandates that health carriers and third-party administrators notify employers of their option to opt-in for data submission and the benefits of doing so, including privacy protections and transparency advantages.

Key insertions in the bill include provisions that require carriers or administrators to inform employers about the access they will have to their claims data if they opt-in, as well as the annual notification requirement upon plan renewal. The bill also clarifies that it does not impose any reporting obligations on self-funded employers or plan sponsors, nor does it dictate how such plans should be administered. The effective date of the act is set for 60 days after its passage. Overall, the bill aims to empower employers with better data access to potentially optimize their health plans and reduce costs.

Statutes affected:
Introduced: 420-G:11