Insights

Coronavirus Coverage and Cost Sharing


On March 12, 2020, the Commissioner of Insurance issued Bulletin Number 20-B-05 regarding coverage and cost sharing requirements related to the coronavirus (COVID-19) outbreak. The Bulletin was issued as an advisory to assist insurers regarding the provision of insurance-related services during a public health emergency.

The Bulletin follows Executive Order 116, which was issued by Gov. Cooper in response to the spread of COVID-19. Executive Order 116 declared a state of emergency in the state.

In order to protect the public, insurers are requested to identify and remove barriers to testing and treatment for COVID-19. Additionally, insurers are requested to review their internal procedures and operations, telehealth delivery of services, network adequacy and out of network services to ensure these are capable of handling increase service needs. These entities are further reminded of the importance of making accurate and timely benefit information available to insureds, though website access or other means.

The memo is directed at insurers, but employers should be aware of this development.

Bulletin Number 20-B-05 »