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MD Issues Bulletin on 2026 ACA Individual and Small Employer Form and Rate Filing Instructions

MD| Bulletin 25-1, from the Maryland Insurance Administration, provides guidance for insurers and health organizations regarding form and rate filing requirements for individual and small employer health benefit plans for the 2026 policy year. It outlines specific deadlines for various types of plans, including individual health benefit plans, small employer health benefit plans, and stand-alone […]

South Carolina Issues Bulletin on Examinations of Pharmacy Benefits Managers and Pharmacy Services Administrative Orgs Begin January 2, 2025

SC| The South Carolina Department of Insurance has issued Bulletin Number 2025-01, reminding that examinations of Pharmacy Benefits Managers (PBMs) and Pharmacy Services Administrative Organizations (PSAOs) will begin on January 2, 2025, as mandated by S.C. Code Ann. §§ 38-71-2250 and 38-71-2340(B)(1)1. These examinations, which will occur at least once every five years, aim to ensure […]

New Hampshire Issues Bulletin for Guidance on Prior Authorization Reporting

NH| Bulletin #INS 25-001-AB from the New Hampshire Insurance Department announces changes to prior authorization requirements for health care services. The bulletin outlines new provisions resulting from the adoption of SB 561, which took effect on January 1, 2025. These changes include shortened time frames for health carriers to make prior authorization decisions, the introduction […]

Oregon Issues Permanent Administrative Order Regarding 2025 Gender-Affirming Treatment Rule

OR| The Oregon Office of Secretary of State issued a Permanent Administrative Order (ID 41- 2024) on behalf of the Department of Consumer and Business Services – Insurance Regulation on new administrative rules for gender-affirming treatment coverage in Oregon, effective January 1, 2025. These rules aim to ensure that health insurance carriers provide comprehensive coverage […]

Puerto Rico Extends Compulsory Liability Insurance Coverage for Motor Vehicles Amid Registration Renewal Delays

PR| The Puerto Rico OCI Ruling Letter No. CN-2025-366-D outlines the extension of compulsory liability insurance coverage for motor vehicles with registrations expiring in December 2024, as per a Department of Transportation and Public Works (DTOP) resolution. It provides detailed guidelines for insurers, insureds, and the Joint Underwriting Association (ASC) to ensure continuity of coverage […]

California Announces Addition to its List of Approved Surplus Line Insurers

CA | The Surplus Line Association of California has issued Bulletin #1490 announcing that the California Department of Insurance has updated its List of Approved Surplus Line Insurers to reflect the addition of Falls Lake National Insurance Company (Ohio), effective December 30, 2024. Click here for more information.

ELANY Issues Bulletin Regarding Submission and Processing of Extension Endorsements

NY| The Excess Line Association of New York (“ELANY”) has issued Bulletin 2024-27. In Bulletin 2021-09, ELANY provided guidance regarding the submission of premium bearing endorsements. This included a limitation on the use of extension endorsements, which cannot be used to annualize premium on a multiyear policy since the excess line tax is payable in […]