Diegnan, Egan & Benson Bill Requiring Health Insurers to Use Standard Explanation of Health Benefits Forms Clears Assembly Panel
Targeted News Service |
Legislation sponsored by Assembly Democrats
The bill (A-1447) requires health insurance carriers issuing health benefits plans in
"People should be able to follow these forms explaining health services rendered, especially when it can end up costing them," said Diegnan (D-
"Using standard forms can help make confusing EOBs, which can vary in length and detail, more user friendly," said Egan (D-
"Many of these forms, with their convoluted industry terms, can be hard for the average person to decipher," said Benson (D-
Under the bill, the Commissioner of Banking and Insurance would be charged with designing a standardized form that is clear and easy for a covered person to understand, and is consistent with the "Life and Health Insurance Policy Language Simplification Act" for insurance carriers to use.
The form would include, but not be limited to, a summary of current services, including the cost of service, the amount paid by the carrier and the amount to be paid by the covered person; an explanation of the reason for benefit denial, if any; and a summary of the covered person's policy.
The bill was released by the
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