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PA HB2200
PA HB2200In regulation of insurers and related persons generally, providing for association health plans.
summary
Introduced
01/10/2020
01/10/2020
In Committee
01/10/2020
01/10/2020
Crossed Over
Passed
Dead
12/31/2020
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)
Valerie Gaydos (R)*,
Kerry Benninghoff (R),
George Dunbar (R),
Seth Grove (R),
Doyle Heffley (R),
Lee James (R),
Dawn Keefer (R),
Ryan Mackenzie (R),
Marci Mustello (R),
Eric Nelson (R),
Jack Rader (R),
Brad Roae (R),
Justin Simmons (R),
Jim Struzzi (R),
Dave Zimmerman (R),
Last Action
Insurance Hearing Cancelled (00:00 6/23/2020 ) (on 06/23/2020)
bill text
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2019&sind=0&body=H&type=B&bn=2200 | 01/08/2020 |
| Bill | http://www.legis.state.pa.us/cfdocs/legis/PN/Public/btCheck.cfm?txtType=PDF&sessYr=2019&sessInd=0&billBody=H&billTyp=B&billNbr=2200&pn=3108 | 01/11/2020 |
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