Page 47 - 2016-2021-ISU
P. 47
(h) The State shall require that the insurance carriers for the State Health
Insurance Plan submit claims and experience data reports directly to the
Joint Committee on Health Benefits in the format and with such frequency
as the Committee shall determine.
(i) The Joint Committee will be responsible for the annual review of
participating providers. The Joint Committee shall investigate and where
feasible, take appropriate action to recruit additional providers in
geographic and specialty areas determined by the Committee to be
deficient. The JCHB will work with the State on the implementation and
ongoing oversight and monitoring of provider guaranteed access to reflect
current geographic radius. There will be no change to the current geo-
access unless jointly agreed to by CSEA and the State.
(j) The Joint Committee shall continue to sponsor the agency health
insurance administrator-training program.
(k) The Joint Committee shall study recurring subscriber complaints and
make recommendations for the resolution of such complaints.
(l) The Joint Committee on Health Benefits shall meet within 14 days
after a request to meet has been made by either side.
(m) The Joint Committee shall study and address other issues and
concerns brought to the attention of the Committee that impact the
accessibility, quality and costs of health care for employees covered by this
Agreement.
§9.31 Communications
Appropriate descriptive material relating to any changes in benefits shall
be distributed to each State agency for internal distribution prior to the
effective date of the change in benefit. The State shall take all steps
necessary to provide revised health insurance booklets to every employee
as soon as possible. The Joint Committee on Health Benefits shall provide
review and counsel on the development of the revised booklets.
§9.32 Confidentiality
The confidentiality of individual subscriber claims shall not be violated.
Except as required to conduct financial and claims processing audits of
carriers and coordination of benefit provisions, specific individual claims
data, reports or summaries shall not be released by the carrier to any party
without the written consent of the individual, insured employee or covered
dependent.
46