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Health Insurance – Large Employers Disclosure of Aggregate Incurred Claims

Our first issue of the year was departmental legislation requiring insurers to provide aggregate claims data for large groups.  Commissioner Redmer had this legislation introduced at the request of a large group and its broker; however, the JLC did not have an opportunity to review the legislation prior to its initial bill hearing.  In our first meeting early in the legislative session, we discussed at length the value and use of aggregate claims data.  While transparency is always our primary goal, we agreed that the value of claims data can vary widely from group to group. Accordingly, we submitted written testimony reflecting our discussion in supporting the bill with an amendment that claims data should be supplied on groups above a certain size.  Eventually, the House Health and Government Operations Committee accepted alternative language from the Commissioner that would make claims data available upon request.  We supported that version of the legislation, which ultimately passed.