42 USC 300gg-93 - Health insurance consumer information

U.S Code last checked for updates: Jan 18, 2025

§ 300gg–93.

Health insurance consumer information

(a)

In general

The Secretary shall award grants to States to enable such States (or the Exchanges operating in such States) to establish, expand, or provide support for—

(1)

offices of health insurance consumer assistance; or

(2)

health insurance ombudsman programs.

(b)

Eligibility

(1)

In general

(2)

Criteria

(c)

Duties

The office of health insurance consumer assistance or health insurance ombudsman shall—

(1)

assist with the filing of complaints and appeals, including filing appeals with the internal appeal or grievance process of the group health plan or health insurance issuer involved and providing information about the external appeal process;

(2)

collect, track, and quantify problems and inquiries encountered by consumers;

(3)

educate consumers on their rights and responsibilities with respect to group health plans and health insurance coverage;

(4)

assist consumers with enrollment in a group health plan or health insurance coverage by providing information, referral, and assistance; and

(5)

resolve problems with obtaining premium tax credits under section 36B of title 26.

(d)

Data collection

(e)

Funding

(1)

Initial funding

(2)

Authorization for subsequent years

(July 1, 1944, ch. 373, title XXVII, § 2793, as added Pub. L. 111–148, title I, § 1002, Mar. 23, 2010, 124 Stat. 138.)

cite as: 42 USC 300gg-93