RD234 - Annual Report of the Activities of the Office of the Managed Care Ombudsman


Executive Summary:
This annual report on the activities of the Office of the Managed Care Ombudsman ("the Office") covers the period from November 1, 2004 through October 31, 2005. During this time, the Office informally and formally assisted over 800 consumers with general issues or specific problems regarding a managed care health insurance plan (an "MCHIP"). The Office continued conducting outreach and educational programs to help consumers understand the benefits available from their MCHIP and provided tools as well as direct assistance to consumers in resolving problems they encountered. When applicable, consumers were referred to another regulatory agency for assistance. We believe that the Office continues to provide a valuable service to consumers whose health insurance is provided by an MCHIP, and that the Office functions in accordance with the legislation that created the Office in 1999.