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New Texas FAIR Plan Rates Effective Sept. 1, 2026: Key Changes by Policy Type

TX|The Texas Commissioner of Insurance approved the Texas FAIR Plan Association’s 2026 residential property rate filings for homeowners, dwelling, condominium, and tenants policies (S736102–S736105), finding the actuarially supported, zone-based changes—developed using a loss ratio method with a ±25% cap on individual increases or decreases and including provisions for losses, expenses, reinsurance, and the Stabilization Fund—to […]

SLA Idaho Announces Bulk Upload Now Supports Documents for Faster Filing

ID| SLA Idaho released an Announcment stating that bulk CSV upload now lets filers upload supporting documents at the same time by listing document names/types in a new CSV field and attaching them in a ZIP file. After upload, the system shows draft filings with links for review, and brokers must still open each filing […]

California Sets New FY 2025–26 PBR Assessment Tiers for Long‑Term Care Insurers

CA| Bulletin 2026-4 from California Department of Insruance notifies all insurers licensed to sell long-term care insurance in California that the Department will levy an annual assessment based on each company’s prior-year California long-term care premium to fund principle-based reserving (PBR) valuation and maintain a prudent PBR fund reserve, setting the total aggregate assessment for […]

IL Company Bulletin 2026‑07 Clarifies PDAA Audits, Rebate Pass‑Through, and Specialty Drug Limits for Medicaid MCOs

IL|The Illinois Department of Insurance Bulletin 2026-07 clarifies that, as of January 1, 2026, all “f‑dash” subsections (f‑5 through f‑25) of Section 513b1 of the Illinois Insurance Code added by the Prescription Drug and Affordability Act apply fully to PBMs and Medicaid managed care entities, with no Medicaid exemption for these provisions. These requirements include […]

South Dakota Sets June 1, 2026 Deadline for 2027 ACA Product Filings

SD| South Dakota DOI Bulletin 26-02 sets a June 1, 2026 SERFF filing deadline for all 2027 ACA-compliant individual and small group products, outlines required supporting materials and attestations, and establishes additional 2026–2027 dates for network adequacy updates and federal survey submissions, while barring late or revised filings except when required by regulators and excluding […]

New CO DOI Bulletin Clarifies How PBMs Must Verify Rural Independent Pharmacies

CO| Colorado Bulletin B-7.158 explains how PBMs must identify and verify “rural independent pharmacies” under Colorado HB 25-1222, clarifying that any Colorado prescription drug outlet privately owned by at least one licensed pharmacist, with no ownership interest by or affiliation with a chain or publicly traded pharmacy, qualifies regardless of its geographic location or proximity […]

Colorado Issues Amended Reg 4‑2‑81: Uniform Cost‑Sharing and Stronger Consumer Protections in Individual and Small Group Plans

CO| Amended Colorado Regulation 4-2-81, effective June 30, 2026, requires all carriers offering individual and small group health benefit plans to provide standardized Colorado Option bronze, silver, and gold plans for 2027, with specific naming conventions, filing requirements, embedded deductibles/OOP maximums, and compliance with federal law, MHPAEA, and Colorado Title 10 provisions. It mandates coverage […]