RD300 - Report of the State Corporation Commission on 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, 2006 through October 31, 2007. The Office informally and formally assisted over 1,000 consumers during the reporting period by responding to general issues or specific problems regarding a Managed Care Health Insurance Plan (an MCHIP) or related issue involving managed care or health insurance. The Office staff helped consumers understand how their health insurance works and how to solve problems. In some instances the Office staff referred potential regulatory concerns to other sections within the Bureau of Insurance for further review and appropriate action. The Office continues to provide a valuable service to consumers, and functions in accordance with the legislation that created the Office in 1999.