State Updates

Consumer Guidance Related to No Surprise Billing

 

On January 4, 2022, Insurance Commissioner McVey issued Insurance Bulletin 22-01, which provides an easy-to-understand summary of the federal No Surprise Billing provisions going into effect in 2022. The bulletin defines “surprise bills,” explains the new protections against surprise billing, provides examples to assist consumers in identifying the now prohibited practice, and confirms that the new law applies to both fully insured and self-insured plans. Lastly, it directs consumers to file an appeal with the insurer or plan when a claim is processed incorrectly for an emergency related expense or an out-of-network expense incurred at an in-network facility.

Employers may want to use the bulletin to educate themselves or their health plan participants of the new law’s protections and provisions.

Insurance Bulletin 22-01 »

PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.

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