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Original source: https://thehill.com/policy/healthcare/443953-work-on-surprise-medical-bills-goes-into-overdrive

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The Hill (05/15/19) Sullivan, Peter

U.S. House Energy and Commerce Committee Chairman Frank Pallone Jr. (D-N.J.) and ranking member Greg Walden (R-Ore.)

Published a draft bill aimed at tackling surprise medical bills. Another bipartisan group of lawmakers in the top chamber, led by Sens. Bill Cassidy (R-La.) , Maggie Hassan (D-N.H.) , and Michael Bennet (D-Colo.) , plan to launch their own laws, and Senate Health Committee Chairman Lamar Alexander (R-Tenn.) And Sen. Patty Murray (D-Wash.) Are working as part of a package to healthcare costs on their measure. The swath of bills comes as President Donald Trump said the administration would hold insurance companies and institutions accountable. Officials need to be sure that patients are better educated about possibly unanticipated payments, and patients have the identical costs in-network or out. The House bill published this week could set the rate that doctors would be paid by insurance companies. Plans to utilize an arbitration approach…. Read More

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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/cfnKGWd5O3A/

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Rhode Island policyholders in loggerheads with their delaying, denying and recalcitrant carriers may seek out help in the claims process by filing a complaint with the Rhode Island Insurance Division. An individual who believes there has been a violation of insurance statute(s) and/or law (s) can file an official complaint with the Insurance Department. All complaints must…… Continue Reading
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Original source: https://www.oci.ga.gov/ExternalResources/Announcements/NewsReleaseFraud-5152019-1119.pdf

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Georgia Office of Commissioner of Insurance (05/15/19)

Three people in Jones County were detained after they were indicted by a grand jury on charges of insurance fraud. Following a house on Friendship Church Road in Gray was burnt to the ground around July 2, 2018 After a review of this case, the Jones County District Attorney’s Office filed charges. Peggy Pelham faces a count of insurance fraud, Duane Phillip Collins faces two counts of insurance fraud, along with Rachel Keith faces two counts of insurance fraud. Pelham was that the owner of the residence and rent Collins and Keith the home. Due to the extensive damage due to the fire, investigators were not able to determine the way it was launched or who initiated the fire…. Read More

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Original source: http://www.ncdoi.com/media/news2/year/2019/051519a.asp

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North Carolina Department of Insurance (05/15/19)

Throughout summer season quickly approaches, Insurance Commissioner Mike Causey and Safe Kids North Carolina remind individuals of the dangers of leaving kids in cars by starting a statewide summertime campaign:”Baby, It’s Hot Inside.” 2018 was the worst year with 52 children dying, such as a boy by Raleigh. In accordance with Safe Kids USA, nine children have died so far for example a boy in Winston-Salem, in 2019. “We are all excited about the return of warm weather in our country, but with that also includes a very real threat of heatstroke,” Causey said. “Even the best of parents or caregivers could make the mistake of leaving a child unattended in a car even for a minute, and the end result can be more harmful than people recognize.”… Read More

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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/AYetdNAnTHQ/

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Congress must renew the statutory authority of the NFIP to operate. On Dec. 21, 2018, the President signed legislation passed by Congress that stretches the National Flood Insurance Program (NFIP) consent to May 31, 2019. Congress should now reauthorize the NFIP by no more than 11:59 pm on May 31, 2019. On Tuesday, the US House…… Continue Reading
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Original source: https://www.wsj.com/articles/retail-sales-declined-in-april-11557923864

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Wall Street Journal (05/15/19) Torry, Harriet; Nunn, Sharon

The U.S. Commerce Department reported that retail sales — that were volatile in recent months — fell by a seasonally adjusted 0.2percent in April from March. The April report indicates that consumer spending remains uneven despite readings which remain at elevated levels. Department store sales climbed 0.7percent over the month, although sales at electronics and appliance stores slipped 1.3 percent, clothes store sales dropped 0.2 percent, and earnings at building material and garden merchants declined 1.9%. Meanwhile, earnings at nonstore retailers, for example online retailers like Amazon.com, fell 0.2% on a month-to-month basis. Weaker than expected sales in April indicate that consumer spending may have begun the next quarter with a rush, which can feed into the pace of economic growth…. Read More

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Original source: https://www.fox8live.com/video/2019/05/16/zurik-state-officials-companies-sanctioned-two-separate-investigations/

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FOX 8 WVUE (New Orleans) (05/15/19) Zurik, Lee; Lillich, Cody

Lee Mallett, a business owner in Louisiana who also sits on two state boards, was sanctioned in two distinct investigations in relation to insurance claims. As stated by the Worker’s Compensation Corporation, following a scheduled appointment, it requested Mallett to cover the correct premium of $1.3 million, however it states rather than cover the owed owed, Mallett moved the ownership of their organization to his father who then place the company in bankruptcy. At a filing sent to the Louisiana Department of Insurance about the newest allegations, Larry Bankston, Mallett’s attorney, states,”The real motive was to punish Mallett for never paying the $1.3 million debt.” The judgment to cancel the coverage of the Worker’s Compensation Corporation was resisted by bankston. Louisiana Insurance Commissioner Jim Donelon discovered that appeal and ruled from Mallett, writing that the companies”failed to supply accurate and complete details.”… Read More

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Original source: https://stjohnsource.com/2019/05/15/lieutenant-governor-reminds-public-of-deadline-to-file-real-legacy-insurance-claims/

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St. John Source (05/15/19)

Virgin Islands Lt. Gov. Tregenza A. Roach Esq., who serves as the Land’s insurance commissioner, was appointed from the Superior Court of the Virgin Islands as ancillary receiver of Real Legacy Assurance Company Following the company was declared insolvent.

Roach reminds the public that the extended deadline to file claims for Virgin Island claimants finishes on May 17. He had earlier petitioned the receiver to file a Proof of Claim Form by the claimants of the territory; the request was accepted by the Superior Court from Puerto Rico. Roach supports Legacy Assurance policyholders to file their claims or from the deadline date to regain any losses which happened while covered by Actual Legacy…. Read More

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Original source: https://insurancenewsnet.com/innarticle/naic-group-aims-to-finalize-policy-overview-idea-by-summer-meeting

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InsuranceNewsNet (05/15/19) Hilton, John

The National Association of Insurance Commissioners’ (NAIC) Life Insurance Illustration Issues working group anticipates completing its”policy overview” summary to follow life insurance earnings by early August, if the NAIC’s summer meeting occurs. Deputy chief legal counsel for the Wisconsin Office of the Commissioner of Insurance, chairman Richard Wicka, says the group has a rather narrow scope of responsibility. “My concern has always been that we are dealing with one restricted charge, and should we change it into dealing with the delivery requirement, we are getting outdoors our street,” he clarifies. Wicka adds that additional group members are advised to request the oversight A Committee to get an expanded charge addressing the delivery of the policy summary. The working group may accept written public comments on the policy review until June 21, he states…. Read More

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Original source: https://www.njspotlight.com/stories/19/05/15/questions-about-njs-surprise-billing-law-and-one-call-for-changes/

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NJ Spotlight (05/16/19) Stainton, Lilo H.

New Jersey’s surprise-billing law, which took effect in September, requires increased disclosure from the insurance companies and providers and created an arbitration procedure to resolve payment disputes between providers and carriers. New Jersey Department of Banking and Insurance Commissioner Marlene Caride, that oversees mediation, says that the vendor that handles this process Maximus, for the state, has decided 357 appeal cases thus far 207 for carriers and — 150 in favor of the providers. Whereas carriers received just over $400,000, providers were awarded more than $ 2 million in payments through the process. Caride says,”While it is too early to assess the long-term impacts of the legislation, we do know it’s having a positive impact on our taxpayers since the legislation prohibits balance billing for casual or emergency out-of-network services”… Read More

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