Regulatory Bulletin 2019-01

NEW AGENCY


Arizona Department of Insurance
100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630


Starting July 1, 2020, we became the
Department of Insurance and Financial Institutions (DIFI).


Use of Credits and Premium Rebates in the Health Insurance Market 

Priority: 
Keith A. Schraad
sort descending
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.

Circular Letter 1981-02

Department Investigation of Workers' Compensation Insurance Replacement

Circular Letter 1981-03

Reasonableness of Benefits in Relation to Premium Charged

Circular Letter 1985-02

Intentional Misquoting of Personal Lines Property and Casualty Rates

Circular Letter 1987-06

Credit Insurance

Circular Letter 1988-01

Testing of Officers and Employees of Title Insurance Agents

Circular Letter 1989-02

Unclaimed Property

Circular Letter 1990-01A

Cancellation or Nonrenewal of Homeowners' Policies

Circular Letter 1990-04A

AIDS/HIV Testing and Consent Form

Circular Letter 1990-05A

Arizona House Bill 2181 (Chapter 394)

Circular Letter 1990-07A

"Moving" Auto Insurance Policyholders to New Companies

Circular Letter 1992-01

Medicare Open Enrollment

Circular Letter 1992-03

Use of United States Drug Enforcement Administration (DEA) Registration Numbers as Physician Identification Numbers

Circular Letter 1992-05

Joint State/Federal Statement on Regulation of MEWAs

Circular Letter 1994-02

Premium Credit for Subscription to Fire Protection Service

Circular Letter 1994-06

Misquotes

Circular Letter 1995-01

Misquotes; Private Passenger Automobile Insurance

Circular Letter 1995-02

Abandonment of Automobile Salvage

Circular Letter 1995-05

Discriminatory Exclusions and Limitations on Chiropractic Treatment Prohibited by A.R.S. § 20-461(A)(16) and (B); Withdrawal of Circular Letters 90-5A and 92-6

Circular Letter 1997-01

Non-Renewal of Motor Vehicle Insurance Policies and Transfers of Policies to Affiliated Insurers Pursuant to A.R.S. § 20-1631(E) and (L)

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