Notice of Public Meeting and Agenda, Arizona Property and Casualty Insurance Guaranty Fund, 3/10/2020
Notice Of Combined Public Meeting and Executive Session of the Arizona Workers' Compensation Appeals Board

Pursuant to ARS §§ 38-431.02(C) and (G) and 20-367, notice is hereby given to the members of the Arizona Workers’ Compensation Appeals Board (WCAB) and to the General Public that the WCAB will hold a meeting open to the public at:

2:00 p.m. to 4:00 p.m. on August 3, 2020

In light of current issues with COVID 19, this meeting will be held virtually. Instructions on how the public may participate in this meeting are below.


For additional information, please call (602) 364-2171 or contact the Department at [email protected].


The following options will be available for public attendance. Details on available options and associated instructions are included below:
Google Meet - Join by phone: (US) +1 617-675-4444 PIN: 831 875 509 9958#
Google Meet - Video Link: https://meet.google.com/vzo-ijde-dhb
(Those using a browser other than Google Chrome may need to copy and paste this link into their
browser.)


**NOTE: Members of the public do not need to have a Google account to participate in this meeting.**
*Please note that members of the public that choose to utilize Google Meet must keep their
microphone muted for the duration of the meeting. If a member of the public wishes to speak,
they may unmute their microphone by pressing *6.

As indicated in the Agenda, pursuant to ARS § 38-431.03(A)(3), the WCAB may vote to go into
Executive Session, which will not be open to the public, to confer with counsel and obtain legal
advice.

The Agenda for the meeting is as follows:

 

  1. Call to order by the WCAB Vice Chairperson.

  2. Introduction of board members.

  3. Introduction of any members of the public.

  4. Adoption of minutes of previous WCAB meeting, if applicable.

  5. *Board members disclosure of any conflict of interest associated with appeal. 

  6. Presentation of HSL Asset Management LLC. Docket No 20W-018-INS., appeal together with questions from the WCAB.

  7. Response or comments by the National Council on Compensation Insurance (NCCI) or any insurer involved.

  8. Discussion of the appeal by the WCAB.

  9. Executive Session. The WCAB may vote to hold an Executive Session for the purpose of obtaining legal advice concerning any item within this Notice and Agenda pursuant to ARS § 38-431.03(A)(3).

  10. WCAB advises Appellant regarding appeal.

  11. Call to the Public. This is the time for the public to comment. Members of the WCAB may not discuss items not listed on the Agenda. Action taken as a result of public comment will be limited to directing staff to study the matter or scheduling the matter for further consideration and decision at a later date.

  12. Adjourn.

 

*Added to the agenda on 7/28/20
Insurers Offering Individual Health Insurance in Arizona

Lists insurance companies that are offering health insurance to individuals and families in Arizona in 2020.  Open enrollment starts November 1st and now runs through December 17th, 2019.  Individuals can start shopping for coverage now at healthcare.gov or cuidadodesalud.gov (Spanish)
Notice of Proposed Rulemaking - Corporate Governance Annual Disclosure Model Regulation In 2019, the Arizona Legislature adopted the NAIC Corporate Governance Annual Disclosure Model Act at Arizona Revised Statutes (“ARS”) by enacting the Corporate Governance Act at Title 20, Chapter 2, Article 16 (Laws 2019, 1st Reg. Sess., Ch. 180, § 1).   The Department of Insurance (“Department”) seeks to adopt the correlate Corporate Governance Annual Disclosure Model Regulation.  ARS § 20-492.02 allows the Department to adopt rules to carry out the Act upon notice and an opportunity to be heard.  The Legislature has exempted the Department from Title 41, Chapter 6 for one year after the effective date of the Act.  (Laws 2019, 1st Reg. Sess., Ch. 180, § 2.)
Arizona's Surprise Bill Resolution Report for 2019

As shown in the attached report prepared pursuant to A.R.S. § 20-3118(A), the Department of Insurance received 91 requests for dispute resolution in Calendar Year 2019.  Of those, 53 have been resolved or closed, and health plan enrollees saved $41,538 by submitting their surprise bills for resolution.  

Not all health care bills qualify for the surprise bill resolution process.  The Department's Suprise Out-of-network Billing Dispute Resolution website (https://insurance.az.gov/soonbdr, and especially the section entitled, "I got a surprise bill. Can I submit a request for arbitration?") lists conditions when a health care bill may not qualify under Arizona law for the dispute resolution process.  But for those that do, the enrollee will only be responsible for paying the enrollee's cost-sharing amounts (copay, coinsurance and deductible) if the enrollee provides information the Department needs, and participates in an informal settlement teleconference with the health care insurer and the health care provider.