Accident and health (A&H) insurers and health maintenance organizations (HMOs) doing business in New York should consider new guidance from the New York Department of Financial Services on the independent dispute resolution...more
New York health insurers are required to respond to a New York State Department of Financial Services (DFS) industry letter on health disparities and health outcomes. The questionnaire included within the letter indicates a...more
A National Association of Insurance Commissioners (NAIC) working group adopted changes to the NAIC’s Financial Analysis Handbook (Handbook) capturing a number of current topics affecting insurers. Insurers should consider the...more
Pharmacy benefit managers (PBMs) should consider the implications of a model law making its way through the National Association of Insurance Commissioners (NAIC) that would establish a licensure requirement and rules of...more
4/13/2021
/ Claim-Processing Rules ,
Health Insurance ,
NAIC ,
Patient Access ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drugs ,
Regulatory Agenda ,
Regulatory Oversight ,
Regulatory Standards ,
The Model Law
The news that A.M. Best is developing stress testing to gauge the impact of COVID-19 on insurers is a timely reminder of the various regulatory capital and reserving regimes under which such exposure could be measured. In...more
Insurance carriers will find the following topics, recently discussed at the National Association of Insurance Commissioners (NAIC), relevant to capital management, financial risk, solvency and similar “prudential” issues,...more
12/11/2019
/ Business Transfer Agreements ,
Capital Assets ,
Capital Requirements ,
Derivatives ,
Financial Solvency ,
Health Insurance ,
IAIS ,
Insurance Regulations ,
NAIC ,
Net Investment Income ,
Regulatory Agenda ,
Reinsurance ,
Risk Management