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Deadline For Public Comment

Deadline: Sep 12, 2012

The deadline for public comment has expired. Contact the agency or primary contact person listed below for assistance.

Rule Details

Rule Number: 12P035
Title: Rule 2.000: Health Insurance Rate Review
Type: Standard
Status: Adopted
Agency: Green Mountain Care Board
Legal Authority: 18 V.S.A. § 9375(b)(6)(A); 18 V.S.A. § 9380; Section 40 a of Act No. 171 (2011 adj. sess.)
Summary: Before January 1, 2012, the Department of Financial Regulation (formerly BISHCA) reviewed and approved, modified, or denied commercial health insurers' rate requests. Under current Vermont law, the Department reviews each rate request and makes a recommendation to the Green Mountain Care Board (GMCB), which then makes a decision to approve, modify, or disapprove the request. See 18 V.S.A. § 9375(b)(6)(A). To meet its obligation under statutes, the GMCB proposes adopting this rule to set forth the process by which commercial health insurance rate request recommendations will be reviewed.
Persons Affected: The proposed rule governs the process by which the GMCB reviews commercial health insurance rate request recommendations received from the Department of Financial Regulation (DFR). The adoption of the rule affects the commercial health insurance companies and their policyholders and the Vermont Office of Health Care Ombudsman (who is party to all rate review cases before the GMCB). The GMCB's rate review process does not affect the Medicaid and Medicare programs administered by the Department of Vermont Health Access.
Economic Impact: The Vermont Legislature created the GMCB to improve the health of Vermonters; reduce growth in health care spending; and promote health care accessibility, affordability, and quality. 18 V.S.A. § 9372. The proposed rate review rules are intended to create a procedural framework that enables the GMCB to further these objectives by complementing DFR's longstanding review of insurance rates and forms and by providing a further check on rates and their impact on both insurers and insureds. The rate review process as set forth in the rule will be revenue-neutral to State government in execution, in that it will be accomplished with existing personnel and resources. It will directly affect the regulated commercial health insurance companies as th
Posting date: Jul 25,2012

Hearing Information

Information for Hearing # 1
Hearing date:
09-05-2012 10:00 AM   
Location: Department of Financial Regulation, Large Conference Room
Address: 89 Main Street, 3rd Floor
City: Montpelier
State: VT
Zip: 05620-3101
Hearing Notes:

Contact Information

Information for Contact # 1
Level: Primary    
Name: Michael Donofrio, General Counsel    
Agency: Department of Financial Regulation    
Address: 89 Main Street, 3rd Floor    
City: Montpelier    
State: VT    
Zip: 05620    
Telephone: 802-828-4892    
Fax:    
Email: 
Michael.Donofrio@state.vt.us
     
 
   
Website Address:  http://www.gmcboard.vermont.gov/rules
     
 
   
Information for Contact # 2
Level: Secondary    
Name: Janet Richard    
Agency: Green Mountain Care Board    
Address: 89 Main Street, 3rd Floor    
City: Montpelier    
State: VT    
Zip: 05620    
Telephone: 802-828-2901    
Fax:    
Email: 
janet.richard@state.vt.us
     
 
   
       

Keyword Information

Keywords:

health insurance rate review
rate review
Green Mountain Care Board
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