Network Adequacy: Using the New NAIC Model Law to Protect Consumers

At a time when networks are narrowing and consumers are facing greater out-of-pocket costs, consumers need a basic level of assurance that the plan they are buying has the ability to deliver promised benefits.

In 2015, the National Association of Insurance Commissioners (NAIC) completed work on a comprehensive model law to address health plan network adequacy. This high profile effort could be a jumping off point for legislation and/or regulations on issues including access to in-network providers, surprise medical bills, provider directory improvements, and more in your state. The information on this page will help you make the most of this opportunity.


Dec. 14, 2015
2:00 p.m. - 3:30 p.m. EST


This webinar featured:

  • An overview of the law, including perspectives of NAIC consumer representatives involved in the process
  • Areas where advocates can improve upon the language in the model
  • Legislative approaches and advocacy strategies currently being considered in selected states
  • Resources for advocates
  • Q&A

Tam Ma  (Presentation)
Health Access California

Claire McAndrew  (Presentation)
Families USA

Stephanie Mohl  (Presentation)
American Heart Association

Leni Preston  (Presentation)
Maryland Women's Coalition for Healthcare Reform

Lynn Quincy
Director, Healthcare Value Hub (Moderator)

Cindy Zeldin  (Presentation)
Georgians for a Healthy Future


View webinar at YouTube


Combined slide presentation



Click here for Network Adequacy: Advocate Resources