Life and Health Division

Life and Health Lines (LHL)

• List of form filing fees
• Product Checklists for Life and Health Rate and Form Filings
• Exhibit A - Exclusions, reductions and limitations for individual health provisions (PDF)

Managed Care Quality Assurance (MCQA)

• MCQA information
• Health maintenance organizations (HMOs)
• Independent review organizations (IROs)
• Utilization review agents (URAs)

Regulatory Initiatives

• Mandated health benefits
• ACA resources for health carriers
• Rules and policy updates
  • HB 2090, 87R – All-Payor Claims Database and Machine-Readable Files 
  • HB 3459, 87R – Preauthorization Exemptions 
  • HB 10, 86R – Mental Health and Substance Use Disorder Parity 
• Cooperatives and coalitions
• Consumer Resources

Actuarial

• Rate review for health benefit plans

Data Services

•  Life, accident and health data calls