FIRST REGULAR SESSION

HOUSE BILL NO. 1150

95TH GENERAL ASSEMBLY

INTRODUCED BY REPRESENTATIVES KANDER (Sponsor) AND ATKINS (Co-sponsor).

0901L.01I                                                                                                                                                  D. ADAM CRUMBLISS, Chief Clerk

AN ACT

To amend chapter 374, RSMo, by adding thereto one new section relating to insurance performance reporting.

Be it enacted by the General Assembly of the state of Missouri, as follows:

            Section A. Chapter 374, RSMo, is amended by adding thereto one new section, to be known as section 374.460, to read as follows:

            374.460. 1. The director of the department of insurance, financial institutions and professional registration shall establish by rule requirements for the annual reporting of performance data by every insurer licensed to do business in this state.

            2. By February first of each year, every insurer licensed to do business in this state shall publish performance data for the immediately preceding calendar year as required by rule of the department on the insurer's Internet web site.

            3. For purposes of this section, "performance data" shall include all of the following:

            (1) Claims information, including but not limited to the following:

            (a) Total number of claims;

            (b) Total claims closed without payment;

            (c) Total claims closed with payment;

            (d) Total amount of payments;

            (e) Total number of outstanding claims;

            (f) The average length of time for processing claims; and

            (g) Such other information as the director may require;

            (2) Premium information, including but not limited to any premium increases or decreases, and changes in deductibles, copayments, or coinsurance; and

            (3) Grievance information, including the number of complaints or grievances filed with the insurer, the number of complaints resolved favorably for the complainant, and the number of complaints unresolved or negatively resolved for the complainant.

            4. Any rule or portion of a rule, as that term is defined in section 536.010, RSMo, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536, RSMo, and, if applicable, section 536.028, RSMo. This section and chapter 536, RSMo, are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536, RSMo, to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2009, shall be invalid and void.

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