This bill amends RSA 420-G:11, V to enhance access to claims data for employers sponsoring self-funded health benefit plans. It stipulates that if an employer opts in writing to submit their claims data to the state's comprehensive health care information system, the insurance commissioner is required to provide that employer with annual access to the claims data associated with their plan. The bill mandates that health carriers and third-party administrators notify employers of their option to authorize data submission and inform them about the benefits of accessing their claims data, including privacy protections and transparency advantages.

Additionally, the bill specifies that the insurance commissioner will adopt rules detailing the opt-in process, which must include information on the purpose of the notification, privacy protections, and the benefits of broad inclusion in the claims database. The bill does not impose any reporting obligations on self-funded employers or plan sponsors, nor does it require any specific administration methods for self-funded plans. The act will take effect 60 days after its passage, and while it does not create new positions or require additional funding, it may lead to a decrease in the state's Insurance Premium Tax revenue if employers use the claims data to optimize their health plans and reduce costs.

Statutes affected:
Introduced: 420-G:11