Sec. 203. Reporting requirements

329 words·~1 min read·/bill/117/s/1002/is/section-203

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Not later than November 1 of the first calendar year following the date of enactment of this Act, and November 1 of each year thereafter, an applicable health plan shall submit to the Secretary a report containing each of the following (with respect to the plan year covered by the reporting period): The total enrollment in the applicable health plan. A statement of whether the applicable health plan used an insurance broker. If such plan used an insurance broker, an indication of the number of consumers who were enrolled in the plan through an insurance broker.

The total amount of claims submitted for payment to the applicable health plan. The total amount of claims denied by the applicable health plan. Information on any marketing materials the applicable health plan used to enroll consumers in the plan, including— an indication of whether the plan used any online advertisements; and a copy of any marketing material used, including any online advertisement. Any other information regarding enrollment, coverage, or advertising the Secretary determines appropriate through regulations issued under section 205.

An applicable health plan shall be exempt from the requirement under subsection

(a)if— the plan is required under the law of each State in which the plan is offered to submit all information required under subsection

(a)to the applicable State authority in each such State; and the applicable State authority in each such State reviews such information and has a process for addressing any such information that is misleading or incorrect. Not later than 2 months after receiving a report under subsection

(a)from an applicable health plan, the Secretary shall transmit the report to the applicable State authority of each State in which the plan is offered. The Secretary shall make all information submitted under subsection

(a)available to the public through a publicly accessible website. The Secretary shall publicize the website under paragraph (1), including through agreements with applicable State authorities and national and State organizations representing consumers.