Haw. Code R. § 16-171-201 - Disclosure to enrollee or authorized representative

(a) Upon written request and payment of fifty dollars to a managed care plan by an enrollee or authorized representative, a managed care plan shall deliver, within ten business days of that request, to that enrollee or authorized representative data that forms the basis for the premium rates that the managed care plan seeks to charge the enrollee in the next enrollment period.

(b) Subject to subsection (c), the enrollee or authorized representative may request all pertinent information as to the rate including, but not limited to, the managed care plan's data for the enrollee relating to:

(1) Loss trend;

(2) Loss ratio;

(3) Annual financial statements of the managed care plan; and

(4) Its rate filing.

(c) A managed care plan shall not be required to disclose supporting information or supplementary rating information that:

(1) Consists of proprietary information, including trade secrets, commercial information, and business plans that the commissioner deems may result in competitive harm to the managed care plan if disclosed;

(2) Is confidential in accordance with federal or Hawaii law; or

(3) Is exempt from disclosure by federal or Hawaii law.

Notes

Haw. Code R. § 16-171-201

[Eff 1/1/05; comp 12/26/06; am and comp 03/28/08; comp 1/22/10; comp 12/13/12] (Auth: HRS § 431:2-201) (Imp: HRS §§ 92F-13, 92F-22, 431:2-209, 431:14G-105, 431:14G-109) Am and comp 2/2/2017