CHAPTER 104
HB 1652-FN – FINAL VERSION
07Mar2006… 1149h
2006 SESSION
01/09
HOUSE BILL 1652-FN
AN ACT relative to certain insurance claims.
SPONSORS: Rep. S. Francoeur, Rock 15; Rep. Marshall Quandt, Rock 13; Rep. Egbers, Hills 10; Sen. Hassan, Dist 23; Sen. Clegg, Dist 14
This bill clarifies when an insurer may impose a retroactive denial of a previously paid claim beyond 18 months.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
07Mar2006… 1149h
06-2720
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Six
AN ACT relative to certain insurance claims.
Be it Enacted by the Senate and House of Representatives in General Court convened:
104:1 Individual Health Care Insurance; Retroactive Denials. Amend RSA 415:6-i, II(b)(5) to read as follows:
(5) The claim payment is the subject of an adjustment with [another] a different insurer, administrator, or payor and such adjustment is not affected by a contractual relationship, association, or affiliation involving claims payment, processing, or pricing; or
104:2 Group Health Insurance; Retroactive Denials. Amend RSA 415:18-m, II(b)(5) to read as follows:
(5) The claim payment is the subject of an adjustment with [another] a different insurer, administrator, or payor and such adjustment is not affected by a contractual relationship, association, or affiliation involving claims payment, processing, or pricing; or
104:3 Health Service Corporations; Retroactive Denials. Amend RSA 420-A:17-e, II(b)(5) to read as follows:
(5) The claim payment is the subject of an adjustment with [another] a different insurer, administrator, or payor and such adjustment is not affected by a contractual relationship, association, or affiliation involving claims payment, processing, or pricing; or
104:4 Managed Care; Retroactive Denials. Amend RSA 420-J:8-b, II(b)(5) to read as follows:
(5) The claim payment is the subject of an adjustment with [another] a different insurer, administrator, or payor and such adjustment is not affected by a contractual relationship, association, or affiliation involving claims payment, processing, or pricing; or
104:5 Effective Date. This act shall take effect 90 days after its passage.
Approved: May 9, 2006
Effective: August 7, 2006