Insurance Compliance

North Dakota Warns Seniors About Unfair Medicare Sales Practices

The North Dakota Insurance Department issued a bulletin warning health insurers and licensed producers against unfair trade practices in the Medicare marketplace. The bulletin clarifies that restricting consumer access to products or unfairly manipulating compensation structures is a violation of state law.

North Dakota State Fire Marshal Appointment

Insurance Commissioner Jon Godfread has appointed Matt Clark as the new North Dakota State Fire Marshal. Clark brings over 20 years of fire service and public administration experience to the role, which oversees fire prevention, investigation, and life safety across the state.

Nebraska Law on Reporting Fake Auto Insurance ID Cards

Nebraska has enacted a law clarifying requirements for auto insurance ID cards and outlining penalties for manufacturing or possessing fake documents. The state Department of Insurance provides guidance on identifying fraudulent cards and reporting suspected insurance fraud.

Association Scam: How it Works

This notice describes a scam where fake associations sell cheap health policies with limited coverage that do not pay claims. Consumers are targeted by telemarketers and end up paying for medical bills that should have been covered.

Appealing Denied Health Insurance Claims

This guidance outlines the two-stage process for appealing denied health insurance claims in Nebraska: internal appeals and external reviews. It details the steps required for filing an internal appeal, including necessary documentation and timelines, and specifies which types of health plans are excluded from these procedures.

Nebraska Suspends Remote Insurance Agent Testing

The Nebraska Department of Insurance has issued new guidance suspending remote testing for insurance agent licensing. Effective immediately, all insurance producer examinations must be conducted at physical testing sites across Nebraska and other designated PSI locations nationwide. This change impacts prospective and current insurance producers seeking licensure.

Nebraska Notice on Medicare Advantage Plan Sales by Consultants

The Nebraska Department of Insurance has issued a notice allowing insurance consultants to sell Medicare Advantage plans, provided they comply with state statutes and CMS marketing rules. This change is in response to reduced commissions for insurance producers.

Oklahoma Health Insurance Bulletin on Senate Bill 515

The Oklahoma Insurance Department issued a bulletin to health insurers regarding Senate Bill 515, which creates new definitions and mandates for health benefit plans and health care services. The bill allows enrollees to pay out-of-pocket for negotiated services and outlines documentation requirements for reimbursement.

Oklahoma Bulletin on Unfair Trade Practices and Frauds in Health Insurance

The Oklahoma Insurance Department issued a bulletin clarifying its stance on unfair trade practices and frauds related to health insurance, particularly Medicare Advantage and Supplement plans. The bulletin addresses carrier practices that restrict consumer access to products and outlines expectations for fair market conduct and producer compensation.

Oklahoma SB 1067 Ambulance Reimbursement Bulletin

The Oklahoma Insurance Department issued a bulletin regarding Senate Bill 1067, which modifies ambulance service reimbursement rules. Health insurers must adhere to specific rates for out-of-network providers, with a submission deadline for local government rates.