Large school districts must seek regular health plan quotes

The district board must seek coverage and service quotes. This covers a school district with at least 300 employees whose self-insurance program handles the listed health or disability benefits, claims, or services. This applies when the district has at least 300 employees and its self-insurance program buys health or disability plans, pools health or accident claim risks, or provides health or medical services. The board must seek quotes through authorized providers, as defined in the law, and may not renew coverage or services with a person who fails to provide the required information on time, accurately, and completely. The board must seek quotes at least once during every four-year period.

People and organizations supporting the district's self-insurance program must provide detailed information to the district. This applies to trusts, insurers, administrators, pharmacy benefit managers, and other people or organizations supporting a school district's self-insurance program. Reports on high-cost claims and eligibility must use de-identified information and comply with federal health privacy law. The required reports include claim and prescription details, plan documents, and eligibility information. They must provide the information at least 60 days before the current benefit program year ends.