Is there any difference between a health insurance carrier and a HIC in the type of claims data that must be presented in order to request an exemption?
Yes. For Title 39 insurance companies, the documentation must show that the claims incurred as a result of providing the required BBMI coverage “independently caused the insurer’s costs for claims and administrative expenses for coverage of all other physical diseases and disorders to increase by more than one per cent per year” (emphasis added). HICs must provide the same actuarial certification; however, the documentation must demonstrate that the BBMI claims expenses caused the HIC’s costs for claims and administrative expenses for the coverage of basic health care services (which includes BBMI) to increase by more than 1% per year.
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