$450k in Mental Health Parity Penalties Issued to UnitedHealthcare
Insurer penalties pass the $2M mark in total Today the Delaware Department of Insurance announced the completion of a follow-up Mental Health Parity and Addiction Equity Act (“Mental Health Parity”) examination of UnitedHealthcare Insurance Company. This investigation also included reviews of complaint and grievance handling, policyholder services, claims, utilization review, medical necessity criteria, pharmacy review, […]
Insurance Commissioner: Vaccine Insurance Coverage in Delaware
In the wake of federal changes, Insurance Commissioner Trinidad Navarro and the Delaware Department of Insurance wish to inform residents about carrier’s intentions regarding insurance coverage for immunizations. “Vaccines save lives,” said Insurance Commissioner Trinidad Navarro. “They save money, preventing costly diseases and conditions, keeping insurance and care affordable. They save health care capacity, a […]
Department of Insurance Issues First-Ever GLP-1 Report
While utilization rises, rebates mean that insurers and employers break-even Use of GLP-1s – the popular medications to treat Type 2 Diabetes and obesity – nearly doubled among Delaware’s fully-insured commercial members from 2020 to 2023, according to a new first-in-the-nation analysis from the Department of Insurance’s Office of Value-Based Health Care Delivery. Data shows […]
Marketplace Health Insurance Rates Return to Trump-Era Highs
Federal budget, CMS rules, and expiration of subsidies to raise consumer costs Carriers on the Delaware Health Insurance Marketplace have filed higher rates for the coming year. These actuarially justified increases are a result of federal budget activities, changes made to federal Marketplace rules, and the expiration of enhanced Advanced Premium Tax Credits. They do […]
CONSUMER ALERT: Patient And Pharmacy Protections During Rite Aid Closures
Navarro issues bulletin regarding consumer access, coverage, other insurer and PBM requirements Rite Aid has commenced Chapter 11 bankruptcy proceedings, resulting in pharmacy closures in Delaware. These closures may disrupt patient access to medications, making prescription transfers and pharmacy accommodations an urgent priority. Insurance Commissioner Trinidad Navarro issued Bulletin No. 153 in response, building upon […]
