In November 2020, the U.S. Departments of Health and Human Services, Labor and the Treasury (Departments) finalized a set of TiC (Transparency in Coverage) Rules requiring that non-grandfathered dealership group health plans and health insurance issuers offering non-grandfathered coverage disclose:
- Negotiated in-network rates for covered items and services;
- Out-of-network allowed amounts and billed charges for covered items and services; and
- Negotiated rates and historical net prices for covered prescription drugs. This mandate has been delayed pending further rulemaking.
For plan years beginning on or after January 1, 2022, required TiC disclosures generally must be made on public websites using three separate machine-readable files.
For most dealerships offering group plan insurance coverage, there are no direct TiC compliance obligations as they are the responsibility of their health insurance carriers. Dealerships offering self-insured health plans must link to the machine-readable files listed above on their public facing websites, in a location where login credentials aren’t necessary.
NADA believes that most dealerships and their health insurance providers or administrators are complying with the TiC requirements. For those seeking additional information, please review these FAQs and/or contact your health plan administrator or insurance provider.
Chairman, Regulatory Affairs Committee