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Arizona Department of Insurance

Arizona Department of Insurance. Erin H. Klug February 20, 2019. Arizona’s new Mini-COBRA law – ARS § 20-2330.

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Arizona Department of Insurance

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  1. Arizona Department of Insurance Erin H. Klug February 20, 2019

  2. Arizona’s new Mini-COBRA law –ARS § 20-2330 • A fully-insured, small group health insurance policy issued or renewed after December 31, 2018, must allow a health plan enrollee, including any qualified dependent, to continue coverageafter a qualifying event. • Small employer must notify enrollees in writing -- after one of 10 qualifying events-- of the right to continue coverage under the employer's health benefits plan. • Small employer = average of at least 1 but fewer than 20 employees.

  3. Arizona’s new Mini-COBRA law –ARS § 20-2330 • ADOI’s Sample Notice of Coverage Continuation is available here: https://insurance.az.gov/arizona-sample-notice-continuation-coverage-mini-cobra • A small employer that properly completes and timely issues the Department's form is presumed to satisfy notification requirements.

  4. Arizona’s NEW Surprise Out of Network (SOON) Billing Dispute Resolution • Insurers and providers must notify patients of dispute resolution rights: Surprise Out-of-Network Billing Notice to Enrollee If you receive a bill for $1,000 or more from an out-of-network (non-contracted) provider for services provided at an in-network (contracted) facility, Arizona law may give you the right to a dispute resolution process through the Arizona Department of Insurance. The process begins with you filing a request with the Department. If the bill qualifies for dispute resolution, you or someone you designate to represent you will need to participate in the process. FOR MORE INFORMATION: Visit the Surprise Out-of-Network Bill Dispute Resolution web page at insurance.az.gov/soonbdr.

  5. Arizona’s NEW Surprise Out of Network (SOON) Billing Dispute Resolution • Initiated by the patient who must participate in settlement teleconference • Visit https://insurance.az.gov/soonbdrto learn: • Which “surprise bills” qualify for dispute resolution (many will not) • How to protect yourself from surprise bills • How to use the dispute resolution process • Detailed explanation of the process and rules • Forms for submitting request for dispute resolution

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