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What's New

California - AB72: Health Care Coverage - Out-of-Network Coverage

The California Department of Insurance (DOI) AB 72, requires a health care service plan or health insurance policy issued, amended or renewed on or after July 1, 2017 to provide that if an insured received covered services from a contracting health facility, and in the process received covered services provided by a non-contracting individual health professional, then those services must be paid at the “in network cost-sharing amount”.

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New York Network Filings now Submitted via the Provider Network Data System

Per instruction from the NY Department of Financial Services (“DFS”) beginning October 1, 2016 insurers, including stand-alone dental and vision insurers, can no longer submit their PPO networks to the New York Department of Financial Services (DFS) via SERFF and instead must submit their PPO Networks via New York’s Provider Network Data System (PNDS).

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DOL Fiduciary Rule Exemptions

Final Rule: 29 CFR Parts 2509, 2510 and 2550

Published: April 6, 2016

Takes Effect: April 10, 2017

Full Compliance By: January 1, 2018

There has been much discussion over the Department of Labor’s changes to its rule regarding fiduciaries with respect to retirement investment advice to plan sponsors, plan participants and IRA owners. The rule’s changes will directly affect the way an annuity producer does his or her business.

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