The National Association of Insurance Commissioners has been working on a requirement that insurers devote at least 80-85 percent of premiums to paying medical claims and other healthcare expenses.
With the provision effective on Dec. 31, the NAIC is still dealing with such matters as the insurance industry’s arguments that expenses like nurse hot lines, utilization review programs and appeals of decisions to deny claims should be classified as medical expenses.
Read the Washington Post’s report on health insurance spending.
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