|
|
| |
- Who do I contact with questions regarding the Department’s supplemental reporting requirements?
E-mail questions regarding the supplemental reporting requirements to lludtke@ins.state.nh.us. Questions may not be answered directly. Rather, this document will be updated frequently with responses to queries regarding the supplemental reporting requirements.
|
 |
- Do employers that maintain self-insured, ERISA exempt plans, need to file a supplement report?
No. Only New Hampshire Insurance Department licensees are subject to the reporting requirements.
|
|
- Do life insurance companies need to file a supplemental report?
All insurance companies with a Paragraph 4 authorization on their New Hampshire insurance license must file a supplemental report.
|
|
- Do exempt Third Party Administrators (TPAs) need to file a supplemental report?
Yes. An exempt TPA is subject to all of the supplemental reporting requirements.
|
|
- Do New Hampshire Licensed entities that have no covered lives in New Hampshire need to report?
Yes. A null report must be filed. A null report has no data records, but has all of the other requisite record types.
|
|
- Will the Department accept a written memo from a New Hampshire licensed entity that has no covered lives?
No. All entities must make an electronic submission as prescribed.
|
|
- Will the Department accept supplemental report transmissions via electronic mail?
Yes. All report transmissions must be sent via e-mail as prescribed.
|
|
- When must TPAs file their first supplemental report?
TPAs, and other non-HMO licensed entities, must file their first annual report, based on calendar year 2002 experience, no later than April 1, 2003.
|
|
- Do paid claims include capitation payments paid to providers?
Yes.
|
|
- For Third Party Administrators, shall reported revenues include amounts collected for claims paid on behalf of the client as well as administrative fees collected by the Third Party Administrator?
Yes.
|
|
- Please provide an example as to how data is to be tabulated in accordance with Section IV (b) (3) of the bulletin.
Consider a policy sitused in area 030, with 100 certificate holders. 30 certificate holders are sitused in area 030, 25 certificate holders are sitused in area 031, 20 certificate holders are sitused in area 032, 15 certificate holders are sitused in area 033, 10 certificate holders are sitused in area 034. To comply with this provision of the bulletin, the carrier would need to submit five data records with the following fields coded as shown.
| Data Type |
Policy Zip |
Certificate Zip |
Policy Count |
Certificate Count |
| D |
030 |
030 |
1 |
30 |
| D |
030 |
031 |
0 |
25 |
| D |
030 |
032 |
0 |
20 |
| D |
030 |
033 |
0 |
15 |
| D |
030 |
034 |
0 |
10 |
|
|
