Hawaii Administrative Rules
Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Chapter 171 - MISCELLANEOUS INSURANCE RULES
Subchapter 2 - HEALTH PROVISIONS
Section 16-171-201 - Disclosure to enrollee or authorized representative

Universal Citation: HI Admin Rules 16-171-201

Current through February, 2024

(a) Upon written request and payment of fifty dollars to a managed care plan by an enrollee or authorized representative, a managed care plan shall deliver, within ten business days of that request, to that enrollee or authorized representative data that forms the basis for the premium rates that the managed care plan seeks to charge the enrollee in the next enrollment period.

(b) Subject to subsection (c), the enrollee or authorized representative may request all pertinent information as to the rate including, but not limited to, the managed care plan's data for the enrollee relating to:

(1) Loss trend;

(2) Loss ratio;

(3) Annual financial statements of the managed care plan; and

(4) Its rate filing.

(c) A managed care plan shall not be required to disclose supporting information or supplementary rating information that:

(1) Consists of proprietary information, including trade secrets, commercial information, and business plans that the commissioner deems may result in competitive harm to the managed care plan if disclosed;

(2) Is confidential in accordance with federal or Hawaii law; or

(3) Is exempt from disclosure by federal or Hawaii law.

Disclaimer: These regulations may not be the most recent version. Hawaii may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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