Department of Insurance receives $1.84 million healthcare grant
News: 2016 Press Release
The Health Insurance Enforcement and Consumer Protection Grant awarded to the Department of Insurance will provide resources to enable the department to enhance existing efforts to protect consumers by making sure insurers are in compliance with a number of requirements of the Affordable Care Act. The department was awarded federal funds to:
- enhance existing enforcement of non-discrimination standards in health insurer plan, network and formulary designs;
- enhance existing enforcement of no-cost coverage for preventive care services under Section 2713 of the Public Health Service Act;
- enhance existing review of Medical Loss Ratio reports; and
- enhance existing enforcement processes of parity in coverage of mental health and substance use disorder benefits under the Mental Health Parity and Addiction Equity Act of 2008.
The department will use the two-year grant in areas such as market conduct examinations, consumer complaint investigations, enforcement of the laws relating to parity in mental health and substance use disorder benefits, preventive services, and medical loss ratio compliance. In some areas, the department will contract with medical professionals whose clinical expertise will assist the department in enhancing existing enforcement of the law.
The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $310 billion in premiums annually in California. Since 2011 the California Department of Insurance received more than 1,000,000 calls from consumers and helped recover over $469 million in claims and premiums. Please visit the Department of Insurance website at www.insurance.ca.gov. Non-media inquiries should be directed to the Consumer Hotline at 800.927.4357. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.