Utah Issues Bulletin Regarding the Cyberattack on Change Healthcare
UT | The Utah Insurance Department has issued Bulletin 2024-4 regarding the cyberattack on Change Healthcare on February 21, 2024. The Department acknowledges that the cyberattack has created significant operational challenges for insurers and healthcare providers, including individual practitioners, practice groups, laboratories, facilities, and pharmacies. The Department requests an insurer to assist consumers and healthcare […]
Pennsylvania Issues Eligible Surplus Lines Insurer List Updates
PA | The Pennsylvania Surplus Lines Association has issued its updated List of Eligible Surplus Lines Insurers as of March 11, 2024. Click here to view the list.
Texas No Longer Offering Online Proctored Exams
TX | Effective immediately, OnVUE online proctored exams will no longer be offered as a supplemental testing option for Texas Department of Insurance candidates. Exams will continue to be offered at designated/authorized Pearson VUE test centers in and outside the state of Texas. Previously scheduled OnVUE exams through March 31 will be honored. Click here for more […]
New York Announces Suspension of Certain Utilization Review Requirements, Appeal Timeframes, Claim Submission Timeframes, and Eligibility Verifications
NY | The New York Department of Financial Services has issued Circular Letter No. 2 to advise insurers that certain preauthorization, concurrent, and retrospective review requirements, appeal timeframes, reconsideration timeframes, claim submission timeframes, and eligibility verifications should be suspended or tolled when necessary. Issuers and PBMs should ensure that there are no delays in health […]
Illinois Company Bulletin 2024-06 Provider Directory Audit Filings – Update
IL | The Illinois Department of Insurance (“IDOI”) issues Company Bulletin 2024-06 to provide updated guidance to all companies who are required to submit a Network Adequacy Filing related to provider directory audits under 50 Ill. Adm. Code 4540.60. These annual filings, the first of which were due July 1, 2023, and then must be […]
Illinois Property & Casualty Insurance Market Intelligence Data Call
IL | The Illinois Department of Insurance has issued Company Bulletin 2024-07 to notify companies of the Department’s participation in the National Association of Insurance Commissioner (“NAIC”) Property & Casualty Insurance Market Intelligence Data Call. Click here for more information.
New Hampshire Issues Bulletin Regarding Coverage for Insureds 21 Years of Age and Younger Who Are Receiving Mental Health Services Provided by State-Sponsored Community Health Providers
NH | The New Hampshire has issued Bulletin Docket #INS 24-016-AB. As commercial health insurance coverage expands under the Affordable Care Act to ever wider segments of the New Hampshire population, and as state-sponsored community mental health services for children in the state grow under a number of state and federal initiatives, it is increasingly […]
Mississippi Issues Form and Rate Filing Guidance for Individual, Small Group, and Stand-Alone Dental Plans
MS | The Mississippi Insurance Department has issued Bulletin 2024-1. The purpose of this bulletin is to provide guidance for filers of individual, small group, and stand-alone dental plans (SADP) offered inside and/or outside of, the Federally Facilitated Marketplace (FFM), that wish to issue or renew plans in Play Year 2025. Click here to continue […]
Utah Bulletin Regarding the Department’s Duty to Suspend a License for Not Paying a Forfeiture Judgment
UT | The Utah Insurance Department has issued Bulletin 2024-3. It is well-established that a bail bond agency has two options when facing a forfeiture judgment – challenge it or pay it. Utah Code § 31A-35-504(2). If the agency does neither, the prosecutor in the case must notify the Department of this fact. Id. And […]
Michigan Issues Bulletin Regarding the Practice of Price Optimization
MI | The Michigan Department of Insurance and Financial Services has issued Bulletin 2024-09-INS. This bulletin addresses the practice of “price optimization” and informs property and casualty insurers writing business in Michigan that the use of price optimization in ratemaking is not permitted under Michigan law. Price optimization generally refers to an insurer’s practice of […]