This bill amends RSA 420-G:11, V to enhance the access of self-funded employer-sponsored health benefit plans to their claims data. It stipulates that if an employer authorizes the submission of their 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. Additionally, it specifies that this notification must occur annually 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 these plans should be administered. The insurance commissioner is tasked with adopting rules to specify the format of the opt-in notification, ensuring that employers are well-informed about their options. The bill is expected to have an indeterminable fiscal impact, as it may lead to reduced costs and lower premiums for employers utilizing claims data, potentially affecting the state's Insurance Premium Tax revenue. However, the Insurance Department believes that any additional workload resulting from this bill can be managed within their existing budget.

Statutes affected:
Introduced: 420-G:11