Attachments - NAIC
1. National Association of Insurance Commissioners, Consumer Complaint White Paper, Draft of 13 March 2000
Attachments – California
- California Department of Insurance, Ombudsman Projects, Downloaded on 14 March 2000. http://www.insurance.ca.gov/EXECUTIVE/OMBUDSMAN/Projects.htm
- Consumers Union and Center for Health Care Rights, Manage to Care: How California Can Better Inform Consumers about Managed Care, June 1999
- The Lewin Group, Inc., Evaluation of the First 18 Months of Operation of the Health Rights Hotline: A Pilot Independent Assistance Program of the Center for Health Care Rights, January 2000, http://www.kff.org/content/2000/1569/OmbudsEvaluationReport.PDF
- Managed Health Care Improvement Taskforce, Improving Managed Health Care in California, Findings and Recommendations, Volume 2, pgs13-41, January 1998
- California Department of Corporations, Health Care Service Plan Complaint Data, 1998 Requests for Assistance, July 1999,http://www.corp.ca.gov/pub/98rfa/98rfa.htm
- Center for Health Care Rights, Real Problems and Real Solutions: Making the Voices of Health Care Consumers Count, December 1999, Available at: http://www.hrh.org/99_rpt.pdf
- California Department of Insurance, Commissioner Quackenbush releases new consumer complaint study on insurance companies, 28 October 1998 http://www.insurance.ca.gov/PRSarchive/PRS1998/Pr150-98.htm
Attachments - Maryland
- Department of Health and Mental Hygiene and Maryland Insurance Administration, Memorandum of Understanding
- Maryland Health Care Access and Cost Commission, Comparing the Quality of Maryland HMOs: A Guide for Consumers, 1999, Available at: http://www.mhcc.state.md.us/hmo/hmoreport99.pdf
- Maryland Insurance Administration, Report on the Health Care Appeals & Grievance Law, April 2000
Attachments - New York
- New York Insurance Department, Circular Letter No 5, Re: Managed Care Grievance and Utilization Review Appeal Data, 19 February 1999, Available at: http://www.ins.state.ny.us/c199_05.htm
- New York Department of Insurance, New York Consumer Guide to Health Insurers, September 1999, Available at:http://www.ins.state.ny.us/hgintro.htm
- New York Department of Insurance, Annual Ranking of Health Insurance Complaints, 1998, Available at: http://www.ins.state.ny.us/hrk97.htm
- New York State Insurance Department, Levin Announces Availability of State's Premier Consumer Guide to Health Insurers, 17 November 1999, Available at: http://www.ins.state.ny.us/p9911173.htm
- New York State Insurance Department, Department Releases Annual Health Complaint Ranking - New report shows most consumers are winning battles with NY HMOs, 15 December 1998, Available at: http://www.ins.state.ny.us/p9812151.htm
Attachments - Oregon
- Oregon Department of Consumer & Business Services, Consumer Guide to Oregon Insurance Complaints, Complaints from Calendar Year 1998, 1999, Available at: http://www.cbs.state.or.us/external/ins/docs/consumer/2311.pdf
- Oregon Department of Consumer & Business Services, Sample Insurance Company Annual Reports, 1998, Available at: http://www.cbs.state.or.us/external/ins/docs/sb21/sb21_reports.htm
- Oregon Insurance Division, 1998 Complaint Report Part II, 1999
- Oregon Insurance Division, Bulletins: 1998-1999
- 98-6 Annual Reporting of Grievances under SB21
- 99-2 Annual Reporting on Quality Assessment as Enacted under SB 21 (1997)
- 99-3 Annual Reporting on Utilization Review as Enacted under SB 21 (1997)
- 99-4 Annual Reporting on Scope of Network as Enacted under SB 21 (1997) Available at: http://www.cbs.state.or.us/external/ins/docs/
Attachments - Texas
- Texas Department of Insurance, HMO Quality Assurance Section Audit Tools, Downloaded on 29 February 2000, http://www.tdi.state.tx.us/company/hmoqual/examhome.html
- Texas Department of Insurance, Internet Complaint Information System, Sample reports, Downloaded on 31 January 2000, http://www.tdi.state.tx.us/consumer/icis/ciindex.html
- Office of Public Insurance Counsel Comparing Texas HMOs 1999: Health Plan Quality from the Consumer's Point of View, 1999, Available at: http://www.opic.state.tx.us/counties.html
- Texas Department of Insurance HMO Information and Sample HMO Profile - Aetna, Downloaded on 29 February 2000, Available at: http://www.tdi.state.tx.us/company/hmo/geninfo.html
- Texas Department of Insurance Sample Company Information - Humana Health Plan of Texas. Inc, Downloaded on 14 April 2000, Available at: http://onyxpub.tdi.state.tx.us:8881/pcci/pcci.search
- Texas Department of Insurance, Types of Coverage and Reasons for Complaint, ICIS, Downloaded on 27 August 1999, Available at: http://www.tdi.state.tx.us/consumer/icis/ciindex.html
- Texas Department of Insurance, Aggregate Number of HMO complaints for FY 1999, including Access and CIS Complaint Codes, Facsimile received 14 February 2000
- Texas Department of Insurance, HMO Complaints for Calendar Year 1999, Downloaded 26 April 2000, Available at http://www.tdi.state.tx.us/company/cihmo99.html
Attachments - Vermont
- Vermont Department of Banking, Insurance, Securities and Health Care Administration, Division of Health Care Administration,Insurance Complaint Form
- Vermont Department of Banking, Insurance, Securities and Health Care Administration, Division of Health Care Administration,Grievance Process Tables
- Vermont Department of Banking, Insurance, Securities and Health Care Administration, Division of Health Care Administration,Vermont Managed Health Care Plans, A Guide for Consumers, 1999 Available at: http://www.state.vt.us/bis/hca/consumer/pubs/MCguide99.pdf
- Vermont Department of Banking, Insurance, Securities and Health Care Administration, Division of Health Care Administration,Telephone Call Intake Form
- Vermont Office of Health Care Ombudsman, Data Collection Form, 13 January 1999
- Vermont Office of Health Care Ombudsman, Client Satisfaction Questionnaire