RD384 - Report of the State Corporation Commission on the Activities of the Office of the Managed Care Ombudsman - 2008


Executive Summary:
This annual report on the activities of the Office of the Managed Care Ombudsman (the Office) covers the period from November 1, 2007 through October 31, 2008. During this period, the Office informally and formally assisted over 1,100 consumers and other individuals by responding to general issues or specific problems involving a Managed Care Health Insurance Plan (an MCHIP). Typically this represented issues involving managed care or health insurance. The Office staff helped consumers understand how their health insurance works and how to resolve problems. When confronted with problems outside the Office's regulatory purview, the staff referred consumers to other sections within the Bureau of Insurance for assistance, or in some cases to another regulatory agency. The Office continues to provide a valuable service oriented to consumers, and functions in accordance with the legislation that created the Office in 1999.