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.
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].