BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1521
                                                                  Page  1

          Date of Hearing:   May 20, 2009 

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Kevin De Leon, Chair

                   AB 1521 (Jones) - As Amended:  April 29, 2009  

          Policy Committee:                              Health Vote:10-6
                        Insurance                             7-3

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill prohibits health plans and insurers from entering into  
          compensation agreements with agents and brokers that vary due to  
          beneficiary health status, claims experience, industry,  
          occupation, or geographic location. In addition, this bill  
          prohibits health plans and insurers from entering into  
          compensation agreements with agents or brokers that provide  
          increased payment for enrolling a beneficiary in a new plan  
          rather than renewing an existing policy. This bill makes several  
          other changes to increase disclosures and consumer protections  
          in the purchase of health coverage. 

           FISCAL EFFECT  

          No direct fiscal impact to the California Department of Managed  
          Health Care (DMHC) and the California Department of Insurance  
          (CDI) to continue regulation of health plans and health  
          insurers.

           COMMENTS  

           Rationale . This bill is sponsored by Health Access California to  
          increase consumer protections with regard to the purchase and  
          renewal of health insurance. According to the author and  
          sponsor, continually rising health care costs have driven  
          consumers to shop for new coverage with lower premiums. Many  
          consumers are not aware of underwriting and sales strategies  
          that may result in a beneficiary being deemed uninsurable,  
          facing even higher costs, acquiring less robust coverage, or  
          being changed between products for the benefit of an agent or  
          broker. This bill establishes related prohibitions to increase  








                                                                  AB 1521
                                                                  Page  2

          disclosures and increase continuity of coverage for  
          beneficiaries who may otherwise change health coverage without  
          fully understanding coverage implications. 


           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081