Pennsylvania HB966 amends insurance law to impose penalties on insurers with high rates of overturned adverse benefit determinations.
Pennsylvania HB966 amends the Insurance Company Law of 1921 to enhance quality health care accountability and protection. The bill requires the Department of Insurance to submit an annual report on the implementation and enforcement of insurance laws, including data on overturned adverse benefit determinations. Insurers face additional penalties if more than 50% of their adverse benefit determinations are overturned through internal claim and appeal procedures or external review processes.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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