RI Health Plan 2014 Annual Report Form on Tobacco Cessation Benefits

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Purpose: To collect data from each health plan's fully insured accounts for policies issued in RI to insured members regardless of where they reside (which are subject to the state mandate, RI Office of the Health Insurance Commissioner Regulation 14 Tobacco Cessation Treatment Coverage), in order to understand: a) how Rhode Island health plans have implemented Regulation 14, which was promulgated into law on August 14, 2009 and which required health insurers to provide smoking cessation benefits to their members, and b) the details of the health plan products offered, cessation benefit offered and member utilization for the period January 01, 2013 to December 31, 2013.

Optional but not required: In addition, to better understand your health plan tobacco cessation benefit coverage, if information is available, please include information for self-insured groups.

Question responses: The survey consists of mostly questions with Yes/No response options. In addition, there are several multiple choice selections and opportunities to explain or describe responses further. Please leave blank any response options that you do not select. Answer all of the questions to the best of your ability and email Dana McCants Derisier (dana.mccants-derisier@health.ri.gov) if you have questions so that we can ensure correct question interpretation.

Reporting Information:

Review the contents to prepare for completing report online.

Complete the report online and responses will be saved in a secure server.

Annual Reports are to be completed online by March 15, 2014.