North Carolina Puts Friday Health Plans in Receivership

North Carolina became the latest state to put Friday Health Plans in receivership, with Insurance Commissioner Mike Causey announcing his department will file a petition for receivership.

Coverage for FHP-NC’s policyholders that have health insurance through the federally facilitated exchange will end at the end of the day on Aug. 31. To ensure FHP-NC’s policyholders have an opportunity to replace their current exchange coverage before it is terminated, the North Carolina Department of Insurance has coordinated with the US Center for Consumer Information and Insurance Oversight to implement a special enrollment period for members to select another exchange health insurance plan.

The special enrollment period will begin on July 2 and end on Oct. 30. Consumers who purchased health insurance from FHP-NC through the federal exchange must choose a new exchange health insurance plan by Aug. 31 to avoid a gap in health insurance coverage.

Consumers that fail to choose a new plan by that date will still have until Oct. 30 to obtain coverage but will have a gap in coverage from the date all FHP-NC plans are terminated on Aug. 31 until the effective date of new coverage. A website to assist impacted members with the process of choosing a new exchange health insurance plan will be established with a link on the North Carolina Department of Insurance website.

Below are important dates to keep in mind:

IMPORTANT DATES

• July 2-Special Enrollment Period Begins
• Aug. 31-Last Day to Enroll Without a Gap in Coverage
• Aug. 31-All FHP-NC Policies Are Terminated
• Oct. 30-Last Day of Special Enrollment Period

Finally, providers should continue to service all FHP-NC members and should not demand payment other than the proper cost share associated with the medical service and relevant health plan. Providers will be paid for all covered claims for services performed by Aug. 31 and will receive notification from FHP-NC in July.

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