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PA HB2200

PA HB2200
In regulation of insurers and related persons generally, providing for association health plans.


summary

Introduced
01/10/2020
In Committee
01/10/2020
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

2019-2020 Regular Session

Bill Summary

An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, in regulation of insurers and related persons generally, providing for association health plans.

AI Summary

This bill amends Title 40 (Insurance) of the Pennsylvania Consolidated Statutes to provide for association health plans. The key provisions are: 1. Defines terms such as "association," "employer," "group health plan," "health insurance policy," and "insurer" for the purposes of the bill. 2. Allows insurers to issue health insurance policies to associations, where the association is considered the policyholder, as long as the association meets certain requirements, such as being actively in existence for at least two years and not conditioning membership on any health-status-related factors. 3. Requires association health plans with 51 or more employees to be treated as large group market plans, subject to the large group market insurance regulations under federal law, including the prohibition on denying coverage based on pre-existing conditions. 4. Imposes certain requirements on the health insurance issuer, such as treating all enrolled employees as a single risk pool, setting premiums based on the collective group experience, and prohibiting premium variations based on gender or health status. 5. Requires the association to establish a governing board, with at least 75% of the board comprised of employees of the employer members participating in the health plan. 6. Allows an employee who terminates employment with one employer member and is subsequently reemployed by another employer member of the association to remain covered under the association's health plan.

Committee Categories

Business and Industry

Sponsors (15)

Last Action

Insurance Hearing Cancelled (00:00 6/23/2020 ) (on 06/23/2020)

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