Bytes

In November, NADP represented our members to key stakeholders and the media.

Whether distributed during Capitol Hill visits or used as a foundation for company presentations or CONVERGE sessions, NADP research reports add credibility and strength to any industry discussion.

Last month, the Iowa Insurance Division (IID) reported on Dental External Review to the Governor and state legislature as required by a law passed in 2014. The report includes background and legislative history on external review for dental in the state, summary of stakeholder comments and IID findings. The IID concludes that no future amendments to statute include additional dental external review processes beyond medical necessity.

On April 17, 2015, Governor Inslee approved Washington House Bill 1002, which includes two primary sections to require carriers offering dental-only plans to submit information on loss ratios and to prohibit dental plans from denying coverage for treatment of emergency dental conditions that would otherwise be covered on the basis that the services were provided on the same day of examination and diagnosis.

MonthlyByte     May 2015   Exchanges Consider Decision Support Tools States and Exchanges are exploring ways consumers can more easily compare what some consider a plethora of Qualified Health…

MonthlyByte     July 2015   Member Survey Results Announced Thank you to all the individuals who participated in the 2015 NADP Member Survey. A common theme emerged from the…

The National Conference of Insurance Legislators (NCOIL) Committee on Health and Long-Term Care met twice during the NCOIL Annual Meeting last week to discuss four proposed Model Laws on network adequacy, provider directories, telemedicine reimbursement and telemedicine licensure.

To enhance representation of the dental benefits industry, the NADP Board of Directors approved creation of the Standards and Transaction Initiative (STI) in the fourth quarter of 2014. STI includes four WorkGroups: Codes, Clinical, EDI and Operations. Together, these groups strengthen your voice as they provide united industry perspective, leadership and direction on critical dental issues affecting the growth and advancement of the industry.

In less than two weeks, dental benefits professionals will gather in San Antonio, Texas for CONVERGE 2016, the premier professional development event for the dental benefits industry. One of my favorite aspects of CONVERGE are the volunteer group meetings that take place on Monday. I am really looking forward to dropping in on as many their meetings as possible. Seeing our volunteers in action is quite impressive, and the work of the volunteer groups showcase the value of NADP membership.

The following is a closer look at the Department of Labor (DOL), Internal Revenue Service (IRS) and Health and Human Services (HHS) proposed rule on “Expatriate Health Plans, Expatriate Health Plan Issuers, and Qualified Expatriates; Excepted Benefits; Lifetime and Annual Limits; and ShortTerm, Limited-Duration Insurance.”