BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1449
                                                                  Page  1

          Date of Hearing:   April 21, 2009

                            ASSEMBLY COMMITTEE ON HEALTH
                                  Dave Jones, Chair
                AB 1449 (De Leon) - As Introduced:  February 27, 2009
           
          SUBJECT  :   Health care coverage: solicitation.

           SUMMARY  :   Revises and makes specific to individual health care  
          coverage the duty established for agents, brokers, solicitors,  
          or sales representatives, who assist an applicant in completing  
          applications for health care coverage, to assist applicants in  
          providing answers to health questions accurately and completely,  
          as specified.

           EXISTING LAW :  

          1)Requires anyone who solicits, negotiates, or effects contracts  
            of insurance to be licensed for that purpose by the  
            Commissioner of Insurance, and to meet specified testing and  
            training requirements.  

          2)Establishes a duty on the part of agents, brokers, or  
            solicitors who assist applicants in submitting applications to  
            provide answers to health questions accurately and completely.

          3)Requires an agent, broker or solicitor to attest to both of  
            the following on a written application:

             a)   That to the best of his or her knowledge, the  
               information on the application is complete and accurate;  
               and,

             b)   That he or she explained to the applicant, in  
               easy-to-understand language, the risk to the applicant of  
               providing inaccurate information and the applicant  
               understood the explanation.

          4)Requires, if, in an attestation required by 2) above, a  
            declarant willfully states as true any material fact he or she  
            knows to be false, that person to, in addition to any  
            applicable penalties or remedies available under current law,  
            be subject to a civil penalty of up $10,000.  

          5)Authorizes any public prosecutor to bring a civil action to  








                                                                  AB 1449
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            impose the civil penalty under 3) above and requires a health  
            plan or health insurance application to include a statement  
            advising declarants of the civil penalty authorized under this  
            bill. 

           FISCAL EFFECT  :   This bill has not yet been analyzed by a fiscal  
          committee.
           
          COMMENTS  :   

           1)PURPOSE OF THIS BILL  .  According to the author, this bill is  
            needed to clarify that the duty established for health  
            insurance agents to help in completing health insurance  
            applications accurately is applicable to the individual health  
            insurance market.

           2)BACKGROUND  .  AB 2569 (De Leon), Chapter 604, Statutes of 2008,  
            which established the duty on health insurance agents revised  
            under this bill, related to health insurance rescission.   
            "Rescission" is the process whereby insurers cancel individual  
            health coverage on the basis of alleged missing or incomplete  
            information on the part of the insured person at the time of  
            application.  AB 2569 focused on the role of agents in helping  
            individuals to complete the application for health insurance  
            to make sure that agents did not contribute in any way to the  
            potential for a rescission because of errors or omissions in  
            the application.  This bill would clarify that the duty to be  
            complete and accurate established by AB 2569 applies to  
            individual health insurance applications.

           3)PREVIOUS LEGISLATION.   AB 2569 (De Leon) requires health plans  
            and health insurers to offer new coverage, or continue  
            existing coverage, for any individual whose coverage was  
            rescinded, other than the individual whose information led to  
            the rescission, within 60 days, without medical underwriting,  
            as defined.  Establishes a duty for agents to assist  
            applicants in providing accurate and complete answers to  
            health questions.

           4)SUPPORT IF AMENDED  .  The California Medical Association writes  
            that it would support this bill if amended to: a) provide  
            whistleblower protection if a declarant reports a violation by  
            an agent or sales representative, and b) that the disclosure  
            required in existing law be prominently displayed on the  
            application.








                                                                  AB 1449
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           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          None on file.

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Deborah Kelch / HEALTH / (916) 319-2097