Posts Tagged ‘Insurance Commissioner Trinidad Navarro’
$450K in Mental Health Parity Penalties Issued to UnitedHealthcare
The Delaware Department of Insurance has completed a follow-up examination of UnitedHealthcare Insurance Company regarding its compliance with the Mental Health Parity and Addiction Equity Act. The investigation also looked at other areas of the company’s operations, including handling complaints, claims, and pharmacy benefit management. Due to “substantive findings” and “repeated issues,” the Department has…
Read MoreDelaware Department Of Insurance Issues First-Ever Report On Popular GLP-1 Diabetes And Obesity Treatments
Use of GLP-1 medications — widely prescribed for Type 2 diabetes and obesity — nearly doubled among Delaware’s fully insured commercial members between 2020 and 2023, according to a first-of-its-kind analysis released by the Department of Insurance’s Office of Value-Based Health Care Delivery. The review found that while utilization increased sharply, the expense of the…
Read MoreConsumer Alert: DE Insurance Commissioner Navarro Issues Bulletin on Patient Protections Amid Rite Aid Closures
As Rite Aid has commenced Chapter 11 bankruptcy proceedings resulting in many pharmacy closures in Delaware, Insurance Commissioner Trinidad Navarro has issued a consumer protection bulletin to help patients maintain access to their medications. The bulletin outlines steps insurers and pharmacy benefit managers (PBMs) must take—such as covering emergency refills, simplifying prescription transfers, and ensuring…
Read MoreDelaware Brings Private Paid Family Medical Leave Policies to Market
Insurance Commissioner Trinidad Navarro announced today that the Department of Insurance has approved Delaware’s first private Paid Family Medical Leave plans. These filings, reviewed by independent actuaries and against state requirements, provide options for businesses who wish to purchase compliant private coverage in lieu of participation in the state-administered plan. Eight plans from seven insurers…
Read MoreDelaware Completes Some of Nation’s First Pharmacy Benefit Manager Exams
In an effort to lower pharmaceutical costs, the Delaware Department of Insurance has been building an investigation and enforcement program in order to address the multi-billion-dollar industry that has played a key role in increasing total cost of care and consolidating the pharmacy market. Following the unanimous passage of legislation in 2021, the Delaware Department…
Read MoreDel. Insurance Department To Regulate Pharmacy Benefit Manager Industry
The Delaware Department of Insurance will regulate the pharmacy benefit manager industry. PBMs are a multi-billion dollar intermediary business that influences the costs of medications and what is covered by prescription drug plans. State Insurance Commissioner Trinidad Navarro said through a new state law (HB 219), the department will have the ability to take enforcement…
Read MorePharmacy Benefits Managers In Del. Subject To Tighter Regulations
The Pharmacy Benefits Manager industry in Delaware is huge – and, it will be more tightly regulated. The PBM acts as the intermediary for prescription drug plans. Their decisions affect reimbursement rates for pharmacies, and ultimately the price paid by consumers for prescription medications. Legislation passed in the Delaware General Assembly (House Bill 219) this…
Read MoreDel. Democratic Leadership Endorses Slate Of Incumbents
The Delaware Democratic Party State Executive Committee has endorsed Joe Biden for President and a slate of incumbent candidates for re-election. The Committee is comprised of 25 Democrats from all three counties. They met virtually last week. “The Vice President headlines one of the strongest tickets our Party has ever seen. As Republicans in Washington…
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