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Insurance Commissioner Investigation Of Provider Complaints

Concerning complaints by health care providers to the commissioner of insurance regarding the improper handling of benefit claims by health insurance carriers, and, in connection therewith, requiring additional reporting by the commissioner to the general assembly, requiring a determination by the commissioner of unfair or deceptive health insurance carrier practices, and imposing penalties.
2017 Regular Session
Health Care & Health Insurance
Bill Summary

Currently, the commissioner of insurance may investigate complaints by health care providers regarding the improper handling or denial of benefits by a health insurance company. The bill requires the commissioner to investigate provider complaints and notify the provider of the results of the investigation. The commissioner is directed to include information on provider complaints in an existing annual report to the general assembly. The commissioner must determine if there is a pattern of misconduct by a health insurance company and, if there is a pattern, must impose an appropriate remedy or penalty as an unfair or deceptive practice.

(Note: This summary applies to this bill as introduced.)




Bill Text


Sponsor Type Legislators
Prime Sponsor

Sen. J. Tate
Rep. D. Young



The effective date for bills enacted without a safety clause is August 7, 2024, if the General Assembly adjourns sine die on May 8, 2024, unless otherwise specified. Details