Delaware Department of Insurance

Health Care Reform:

Where are we now?

Premium Rate Review Grant Grant application was issued to states in June Delaware Department of Insurance applied

and was awarded $1,000,000 in July, 2010.

Purpose of Grant

Section 1003 of the Patients Protection Affordability Care Act (PPACA) provides for a program of grants to states to help them improve rate review and reporting process

Insurance Reforms: Beginning September 23, 2010 Allows young adults to stay on their parents’

health care plan until age 26. Effective for plan years that begin after September 23.   Young adult does not have to be living with parents, does

not have to be a student and does not have to claimed on parents’ tax return. Applies to both married and unmarried children Spouse and child are not included.

Transition for certain existing group plans that generally do not have to provide dependent coverage until 2014 if the adult child has another offer of employer-based coverage aside from coverage through the parent. .

Reforms Lifetime and Annual Limits

No lifetime limits

Rescissions Does not permit rescissions Delaware law

Preventive Health Services 100% Coverage

Reforms

Temporary Reinsurance For employers providing coverage to early

retirees

How will the DOI use the grant? Website Enhancements

Permit consumers to compare rates of carriers (similar to the auto

compare currently in use)

Web design for reporting of company financial information

Grant use Transparency

Hearings on Rate filings Meetings between Consumers, Insurance carriers

and the Department of Insurance Discuss ratemaking process

Grant Use

Staff Technology

Video Conferencing Software to permit more in depth review SERFF Enhancement for required reporting

Equipment