NH| New Hampshire Insurance Department Bulletin INS 26-001-AB requires all New Hampshire health carriers, entities offering group health and employee benefit plans, and medical utilization review entities to submit annual complaint and appeal data for managed care plans using a standardized Excel template beginning with the filing due April 1, 2026, with an initial two-year catch-up for calendar years 2024 and 2025. The bulletin clarifies that this reporting is limited to information already required under existing statutes (RSA 415-A:4-b, V(f) and RSA 420-J:5, V(f)), does not create new data categories or systems, and excludes prior authorization data, which is handled under separate reporting.
Key Points:
- All reports must be emailed in the prescribed Excel format to healthcareanalytics@ins.nh.gov and will be reviewed as part of ongoing market-conduct oversight, with failures to comply addressable under existing statutory authority.
- Annual summary of complaint and appeal data for managed care plans must be submitted using the Department’s standardized Excel template starting with the April 1, 2026 due date, including 2024 and 2025 data in the first filing.
- Reporting is confined to complaint and appeal information already required by statute, does not require new reporting systems, and explicitly excludes prior authorization data.