Purpose of the Bill

The purpose of this bill is to require health care sharing arrangements operating within Minnesota to report annually to the commissioner, ensuring transparency and accountability in their operations.

Main Provisions

• Annual Reporting: Health care sharing arrangements must submit a detailed annual report to the commissioner by October 1, 2025, and by March 1 each year after that.
• Report Contents:
  • Number of participants and non-resident participants involved.
  • Details about employer groups participating.
  • A list of Minnesota-based health care providers involved in the arrangement.
  • Financial details including total fees collected, administrative costs, amounts requested for health care costs, and payments made or denied.
  • Information about covered and excluded benefits, including any exclusions for preexisting conditions or increased fees due to these conditions.
  • Eligibility criteria, waiting periods for coverage, and geographic areas the arrangement services or plans to service.
  • Contact information for third parties involved in marketing or enrolling participants.
  • A list of key contacts and an organizational chart of the arrangement's officers and directors.

Significant Changes to Existing Law

• Transparency Requirements: Mandates that health care sharing arrangements, which are not categorized as health carriers, provide thorough data about their operations, enhancing consumer protection.
• Public Access: The Department of Commerce is required to publish a summary of these reports and provide information on how consumers can file complaints about these arrangements.

Relevant Terms

health care sharing arrangements, annual report, commissioner, transparency, consumer protection, Minnesota residents, health care costs, administrative costs, preexisting conditions, eligibility requirements, Department of Commerce.