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Who Regulates Insurance Plans?

The private group plans (or fully insured plans) purchased from insurance carriers by employers as a benefit for employees are overseen by the commission or department of insurance in each state. You can find your state's insurance department in the blue pages of your local phone book, or visit the National Association of Insurance Commissioners on the Web at: http://naic.org/state_web_map.htm (or see "Additional resources" section for a phone number to call).

Self-funded plans (or self-insured plans) that employers or unions create rather than purchase are run by the U.S. Department of Labor's Employee Benefits Security Administration. You may have to ask your employer if their health plan is fully insured or self-insured.

Managed care plans are regulated by several state and federal agencies. Your state insurance commission or department of insurance can give you specific information for an individual plan.

Medicaid is controlled by your state health department

Medicare is run by the U.S. Social Security Administration.

TRICARE is overseen by the U.S. Department of Defense.

The Veteran's Health Care system (including CHAMPVA) is regulated by the U.S. Department of Veteran's Affairs.

Back to Children Diagnosed with Cancer: Financial and Insurance Issues

Last Medical Review: 04/01/2009
Last Revised: 04/01/2009

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Also in this area
Insurance Can Be Complicated  
Private Health Plans  
Where Can Families Get Answers to Questions about Insurance?  
What Records Should Be Kept for Insurance and Medical Costs?  
What Can Be Done if an Insurer Denies a Claim or Refuses to Cover a Prescribed Service?  
Federal Laws that Let You Keep Employer-Sponsored Health Insurance Coverage when You Leave Your Job  
What if My Child's Medical Care Is Covered by More than One Insurance Company?  
Government-Funded Health Plans  
Who Regulates Insurance Plans?  
Options for Uninsured Children  
State Coverage and Health Insurance Options for the Hard-to-Insure  
What Sources Are Available to Help with Treatment Costs if neither Insurance nor Public Assistance Is Available?  
Financial Issues: Getting Help with Living Expenses  
States that Have Health Insurance Risk Pools  
Additional Resources  
References  
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Circle Of Sharing: Personalize Your Cancer Information  
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