Extension of Major Medical Transitional Policies through Calendar Year 2020
Phoenix - The Arizona Department of Insurance (ADOI) announced today that insurers in the individual and small group1 major medical health insurance markets can choose to renew transitional policies for a policy year beginning on or before October 1, 2020, provided all transitional coverage ends by December 31, 2020. Transitional policies are non-Affordable-Care-Act-compliant policies that have been continuously in effect since by or before December 31, 2013. At least 6 health insurers have individual or small group transitional policies still in effect in Arizona.
This extension is the maximum extension permitted under the issued on March 25, 2019 by the Center for Consumer Information and Insurance Oversight (CCIIO), and gives insurers the option to continue the pre-2014 individual and small group policies covering approximately 53,000 Arizonans through the end of 2020. Insurers that offer this extension of transitional coverage are required to send each policyholder a renewal notice that explains the offer to continue the transitional policy through the end of 2020 and includes information regarding any related price increase. Insurers must also send a 90-day notice for the final discontinuation of the transitional plans.
The extension does not affect grandfathered policies issued prior to March 23, 2010. These policies can remain in effect as long as they maintain grandfathered status.
For additional information on the Affordable Care Act, please visit the or call Consumer Assistance at (602) 364-2499.
1Small Group refers to a policy issued to an employer who employs at least two but not more than fifty eligible employees
(ARS § 20-2301(A)(21)).
We are aware of a phishing scam targeting insurance professionals claiming that the National Association of Insurance Commissioners received a complaint that the professional submitted a falsified claim. This fraudulent email displays the NAIC and CIPR logos, can originate from what appears to be an naic.org or gmail.com email account, and instructs the recipient to click on a link to download the complaint notification.
Certain antivirus products will detect this as a malicious email. If you receive a similar email and have any concerns, contact the NAIC Service Desk at (816) 783-8500 or [email protected].