Regulatory Bulletin 2015 - 03: Excepted Benefits in the Arizona Individual Health Insurance Market

The purpose of this Bulletin is to highlight (underscore) the criteria for certain health insurance benefits in the individual market to be exempt (“excepted”) from the market reforms of the Affordable care Act (“ACA”), and from corresponding regulations promulgated by the Department of Health and Human Services (“HHS”) in Title 45 of the Code of Federal Regulations (“45 CFR”).  In particular, this Bulletin addresses recent changes to 45 CFR §148.220 (2014), offers guidance regarding three issues raised by the amendment of §148.220, and provides sample language to meet the requirements of §148.220.

Priority: 
Germaine L. Marks

Warning - Phishing Scam

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].

Circular Letter 2000-01

Issuers' Affirmative Obligations Under the Health Insurance Portability and Accountability Act (HIPAA).

Regulatory Bulletin 2001-16

Permitted Accounting Practice Letters

Circular Letter 2000-02

Standards for Reasonable Investigation of Claims.

Regulatory Bulletin 2002-01

Revision of Property Damage Threshold For Purposes Of A.R.S. § 20-1631(E)

Circular Letter 2000-03

Revision of Property Damage Threshold For Purposes of A.R.S. § 20-1631(E)

Regulatory Bulletin 2002-02

Information Privacy Issues; Correction of Bulletin 2001-11

Circular Letter 2000-04

Common Areas of Regulatory Non-Compliance in Personal Lines

Regulatory Bulletin 2002-03

Property & Casualty Commercial Insurance Notices

Circular Letter 2000-05

Insurance Department Fee Schedule

Regulatory Bulletin 2002-03A

Property & Casualty Commercial Insurance Notices Supplement to Regulatory Bulletin 2002-03

Regulatory Bulletin 2002-04

USA PATRIOT ACT OF 2001

Circular Letter 2000-06

2000 Arizona Insurance Law

Regulatory Bulletin 2002-05

Review of Department Substantive Policy Statements

Circular Letter 2000-07

Right to Guaranteed Issue Under the Health Insurance Portability and Accountability Act of 1996

Regulatory Bulletin 2002-06

Arizona Captive Insurance Program

Circular Letter 2000-08

Renewal of Medicare+Choice Contracts

Regulatory Bulletin 2002-07

2002 Arizona Insurance Laws

Circular Letter 2000-09

House Bill 2016; Surplus Lines Insurance

Regulatory Bulletin 2002-08

Filing Procedures For Compliance With Terrorism Act

Circular Letter 2000-10

Health Care Financing Administration (HCFA) Technical Bulletins 00-02 and 00-03

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