Amendments throughout new Division 1 revise capitalization in catchlines, replace the with the and remove or revise the word phrase “is required to” word “must,” where necessary for consistency with department rule drafting style. “such” Amendments also change the word to where necessary for “subchapter” “title” consistency with department style for references to other sections within rule text. Amendments also update references to to state market access “access plan” “local for consistent use of terminology. Additionally, amendments throughout new plan” Division 1 make nonsubstantive revisions to correct punctuation errors in the current rule text. Amendments to §3.3701 provide effective dates for the rules to preferred provider benefit plans and exclusive provider benefit plans and also address applicability of rules in Title 28 to exclusive provider plans. These provisions are necessary to provide sufficient notice to insurers of the applicability and effective dates of amended and new regulations under the subchapter, to clarify certain limitations on the scope of the amended subchapter, and to ensure conformity with amendments throughout the Insurance Code Chapter 1301 as provided by HB 1772. Amendments to §3.3701(a) provide that the subchapter applies to any preferred or exclusive provider benefit plan that is offered, delivered, or issued for delivery on or after 150 days from the effective date of §3.3701. This effective date is intended to in which the department suspended its supersede Commissioner’s Bulletin #B-0050-11, enforcement of amendments to the preferred provider benefit plan rules that were to become effective May 19, 2012. It is the expectation that insurers whose department’s networks do not comply with the network adequacy requirements of the rule will either
Amendments throughout new Division 1 revise capitalization in catchlines, replace the phrase “is required to” with the word “must,” and remove or revise the word “such” where necessary for consistency with department rule drafting style. Amendments also change the word “subchapter” to “title” where necessary for consistency with department style for references to other sections within rule text. Amendments also update references to “access plan” to state “local market access plan” for consistent use of terminology. Additionally, amendments throughout new Division 1 make nonsubstantive revisions to correct punctuation errors in the current rule text. Amendments to §3.3701 provide effective dates for the rules to preferred provider benefit plans and exclusive provider benefit plans and also address applicability of rules in Title 28 to exclusive provider plans. These provisions are necessary to provide sufficient notice to insurers of the applicability and effective dates of amended and new regulations under the subchapter, to clarify certain limitations on the scope of the amended subchapter, and to ensure conformity with amendments throughout the Insurance Code Chapter 1301 as provided by HB 1772. Amendments to §3.3701(a) provide that the subchapter applies to any preferred or exclusive provider benefit plan that is offered, delivered, or issued for delivery on or after 150 days from the effective date of §3.3701. This effective date is intended to supersede Commissioner’s Bulletin #B-0050-11, in which the department suspended its enforcement of amendments to the preferred provider benefit plan rules that were to become effective May 19, 2012. It is the department’s expectation that insurers whose networks do not comply with the network adequacy requirements of the rule will either
3.3701%20et%20al%20Proposal.docx