New Colorado PBM Oversight: Applications, Attestations, Confidentiality, and Enforcement
CO| The Colorado Insurance Division has amended Regulation 4-2-97 (3 CCR 702-4) establishing the authority, form, and ongoing requirements for pharmacy benefit managers (PBMs) to register with the Colorado Division of Insurance, including initial and annual renewal filings, documentation standards, fees, review and disciplinary processes, confidentiality treatment, and enforcement provisions, with the amended version effective […]
Colorado Tightens Health Price Transparency Rules for 2026, Requiring Colorado-Specific TiC and RxDC Reporting
CO| The Colorado Insurance Division has amended Regulation 4-2-103 (3 CCR 702-4) establishing requirements for carriers and PBMs to submit and, in some cases, publicly post standardized Transparency in Coverage (TiC) machine-readable files and prescription drug data collection (RxDC) reports, aligned with federal rules at 45 CFR 147.212 and 45 CFR 149.10–149.740 and limited to […]
The Excess Line Association of New York Updates Eligible E&S Insurer List
NY| ELANY has made the following updates to the Eligible Insurer List in ELANY Bulletin 2025-26: Added Foreign Insurers: Click here to see ELANY Bulletin No. 2025-26
New Oregon Insurance Rules Effective January 1, 2026: Updates on ORP Parameters, Prior Authorization, NAIC Standards, and More
OR| The Oregon Division of Insurance issues recently adopted rule amendments: Rule Changes Listed and Linked Below:
Alabama Strengthens SAH Program: New 2026 Rules for FORTIFIED Roof Grants, Contractor & Evaluator Requirements
AL| Alabama Department of Insurance issued updates to Regulation Chapter 482‑1‑159, titled “Strengthen Alabama Homes” (SAH), which sets out the rules for the SAH grant program that provides funding to homeowners to retrofit their primary residences to the IBHS FORTIFIED Roof (or successor) standard to reduce wind damage and obtain insurance premium credits; it covers […]
Alabama Sends Notice of Adoption of 2026 Version of Valuation Manual
AL| Alabama Department of Insurance has issued updates to Regulation 482-1-161, specifically Rule 482- -161.12: Adoption of 2016 Version of Valuation Manual, originated on December 5, 2025, Effective January 1, 2026. Click here to see AL Regulation 482-1-161
Alabama Issues Updates to Regulations for Pharmacy Benefits Managers
AL| Alabama Department of Insurance has updated regulation, Chapter 482-1-164, governing pharmacy benefits managers (PBMs), including licensing, renewal, compliance obligations, fee structure, and complaint procedures, with amendments effective January 1, 2026. Click here to see AL Amended Regulation, Chapter 482-1-164
Alabama has released Updated to Regulations for Nonprofit Agricultural Organization Offering Health Benefits
AL| The Alabama Department of Insurance has released updated regulation for Nonprofit Agricultural Organizations Offering Health Benefits, specifically Chapter 482-1-168.02 – Premium Tax Collection, outlining the tax required, due dates, where to find payment instructions, and distribution for those collected funds. New December 5, 2025, Effective January 1, 2026. Click here to see Regulation Update […]
Hawaii Issues New Guidance on Insurers’ Use of AI Systems to Protect Consumers from Unfair Outcomes
HI| Memorandum 2025-13A, issues by the Hawaii Insurance Division, sets expectations for Hawaii-authorized insurers’ development, governance, and oversight of AI systems used in regulated insurance activities, emphasizing compliance with existing unfair trade practice, corporate governance, rate, and market conduct laws, and outlining the documentation the Division may request during investigations or examinations related to AI […]
Maryland Sets 2026–2027 Rules for Student Health Plan Filings, Key Deadlines, and Compliance Standards Under New State Insurance Laws
MD| Maryland Insurance Administration Bulletin 25-17 provides 2026–2027 filing instructions for student health benefit plans, clarifies when an annual SERFF filing is required, incorporates recent Maryland law changes affecting step therapy, preventive services, discretionary clauses, and copay accumulator programs, and reiterates essential health benefit, actuarial value, mental health parity, and rate-filing standards that carriers must […]