Georgia OCI Tightens Requirements for Claiming Housing Tax Credits with Annual Premium Tax Filings
GA| Bulletin 25-EX-5, issued by the Georgia OCI Premium Tax Division, informs insurers subject to O.C.G.A. §§ 33-5-17, 33-8-4, and 33-40-5 that to claim the Georgia Housing Tax Credit under O.C.G.A. § 33-1-18 on their annual premium tax returns, they must submit complete supporting documentation with the filing, as current-year returns are being audited and […]
Georgia Prohibits Step Therapy for Stage-Four Metastatic Cancer Patients
GA| Georgia Insurance Commissioner issues Bulletin 25-EX-6, reminding all health benefit plans issued in Georgia—including state employee plans and Medicaid managed care plans—that O.C.G.A. § 33-24-59.20 prohibits the use of step therapy or “fail first” protocols for the treatment of stage four advanced, metastatic cancer. Health plans that directly or indirectly cover treatment for this […]
New Georgia Bulletin Requires Health Plans to Cover Key Biomarker and Genomic Tests
GA| Bulletin 25-EX-7, issued by Georgia’s Insurance Commissioner, reminds all Georgia health benefit policies, including state employee plans, that O.C.G.A. § 33-24-59.33 requires coverage of biomarker testing for diagnosis, treatment, management, or monitoring of a disease when supported by at least one of five criteria: FDA-approved or cleared tests with labeled indications, tests indicated in […]
Illinois DOI Unveils Uniform Provider Directory Template: New 2026 Compliance Requirements for Health Issuers and Providers
IL| Company Bulletin 2025-23, issued by the Illinois Department of Insurance, announces that Illinois health insurance issuers must implement and accept a new Uniform Electronic Provider Directory Information Form (“Uniform Directory Template”) for onboarding, current, and terminating providers, with mandatory use by all providers beginning July 1, 2026 to update NATA-regulated provider directories. Issuers may […]
New Rules Align Puerto Rico’s CIS Multistate Insurers with NAIC Standards
PR| Circular Letter CC-2025-2052-CIS, issued by the Puerto Rico Office of the Commissioner of Insurance, updates Puerto Rico’s regulatory framework so that international insurers operating through the CIS as Multistate International Insurers must meet NAIC‑consistent solvency, governance, reporting, and guaranty association standards, align with traditional insurer regulation, and transition their business plans and authorizations to […]
Pennsylvania Surplus Lines Association Sends Reminder: Surplus Lines Agents Gross Premiums Tax Report – RCT-123
PA| The Pennsylvania Surplus Lines Association issues second reminder about Surplus Lines Agents Gross Premiums Tax Report – RCT-123 as of December 31, 2025. Pennsylvania-licensed surplus lines agencies (resident and nonresident) are to file the Surplus Lines Agents Gross Premiums Tax Report (RCT-123) and remit the 3% surplus lines premium tax on taxable gross premiums […]
Washington OIC Adopts New Rule on Provider Contract Termination Notices Under SSB 5579
WA| Washington’s Office of the Insurance Commissioner adopted rule R 2025-10 to implement SSB 5579 (RCW 48.43.732), December 23, 2025, establishing new requirements for how health carriers, health care providers, and facilities communicate about potential provider contract terminations to consumers. The rule bars these entities from making public statements about potential contract terminations until within […]
South Carolina DOI Announces FY26 Uninsured Motorist Fund Distributions to Auto Insurers
SC| The South Carolina Department of Insurance issued Bulletin 2025-11 to all insurers writing private passenger automobile insurance in the state, explaining FY26 distributions from the Uninsured Motorist Fund based on each insurer’s 2024 auto liability market share. The bulletin notes that fines and fees collected from uninsured drivers under Title 56, Chapter 10 are […]
New Illinois Bulletin Warns Employers: Section 3A Workers’ Comp Listing Is Essential
IL| Bulletin 2025-22, issued by the Illinois Department of Insurance, reminds carriers and producers that virtually all Illinois employers, including those with even one part-time employee in the state, must secure workers’ compensation coverage for their entire Illinois exposure, typically by listing Illinois in Section 3A of the policy rather than relying on Section 3C […]
New Oregon Rules Tie QHP-Level Access Standards to Gender-Affirming Care and Breast Reconstruction Protections
OR| Oregon’s Division of Financial Regulation has issued a temporary rule order (ID 14-2025) effective January 1–June 29, 2026, to implement Senate Bill 822 by adopting quantitative network adequacy standards, primarily federal QHP benchmarks, for all commercial health benefit plans, defining “unreasonable delay” through specific travel time/distance and appointment wait-time metrics, and updating definitions and […]