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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 […]

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 […]

Oregon Adopts Temporary Rules to Stop Ground Ambulance Balance Billing and Protect Patients’ Wallets

OR| Oregon adopts temporary rules ID 15-2025 implement HB 3243 (2025) to prohibit ground ambulance balance billing, cap enrollee cost sharing at in-network levels, and establish minimum payment and reporting standards for ground ambulance service organizations (GASOs) and participating self-funded plans effective for health benefit plans issued, renewed, or extended on or after January 1, […]