Other information for insurers
These pages provide regulatory guidance and describe processes and required reports for health insurers.
Required insurer reporting
- External review outlines procedures
insurers must follow once a policyholder requests an external, or independent,
review of an unfavorable claim decision.
- Patient protection reports require
insurers to provide information on such topics as network adequacy and
- Health benefit plans provide key financial
data such as net income and percent of premium spent on medical care versus
- Quarterly enrollment reports capture
enrollment data by insurance market.