panel 3: exploring the changes to insurers - Charlotte Chamber of ...

HEALTH CARE REFORM PANEL QUESTIONS
‣ Garland: There are a lot of provisions in this bill. What do businesses need to focus on today?
‣ Mark: As an insurance company, how do you define small vs. large group employer sponsored plans? And, what are
the 3 primary HCR challenges handling small groups vs. large groups?
‣ Barbara: The new HCR law set numerous dates for implementing the provisions of reform. The administration has
publicly asked insurers to implement certain provisions earlier than required, on a voluntary basis (e.g., Age 26
dependents, prohibit pre-existing condition exclusion for dependents under age 19, various disclosure and reporting
requirements) As an insurer, how have you reacted - how is this affecting your business?
‣ Garland: As of January 1, 2011 the new HCR law requires insured health plans to comply with a medical loss ration
(MLR) maximum of 85% (for group plans) 80% (for individual plans. As an insurer, what will this mean to employer
sponsors renewing an insured medical plan on or after January 2011?
‣ Barbara: The new HCR law allows each State to establish a State Insurance Exchange by 2014. As an insurer,
what direct benefits will the exchange create for businesses in North Carolina?
‣ Mark: How will this legislation affect our health care costs?