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Colorado Division of Insurance Announces State-Funded Enhanced Health Premium Subsidies for 2026

CO| The amended Colorado Amended Regulation 4-2-78 establishes updated standards for health insurance affordability, focusing on state-funded enhanced premium subsidies for eligible enrollees on non-grandfathered individual health plans beginning in the 2026 benefit year and annually thereafter. The regulation responds to the expiration of federal enhanced premium tax credits post-2025 and outlines how carriers will […]

California Orders One-Year Ban on Home Insurance Cancellations in Wildfire Emergency Zones

CA| California Department of Insurance Bulletin 2025-13 institutes a mandatory one-year moratorium, effective September 19, 2025, on the cancellation or non-renewal of residential property insurance policies in specified ZIP Codes impacted by the TCU September Complex Fire and subsequent state of emergency declaration. This action prohibits all admitted and non-admitted insurers from issuing non-renewals or […]

Maryland Updates Insurance Carrier Reporting: New Rules Require AI Disclosures and Zip Code Data

MD| Bulletin 25-15, issued by the Maryland Insurance Administration, outlines updated carrier reporting requirements for adverse decisions and grievances as enacted by House Bill 820 and Senate Bill 474, effective October 1, 2025. Carriers are now required to identify the use of artificial intelligence, algorithms, or software tools in adverse decision reporting and must aggregate […]

Iowa Mandates Transparent PBM Pricing to Protect Pharmacies and Patients

IA| Iowa Insurance Division Bulletin 25-06 provides updated guidance on the implementation of SF 383, addressing prohibited unfair and deceptive practices by Pharmacy Benefit Managers (PBMs) in Iowa, with new rules reinforcing pricing transparency, equitable reimbursement, and protections for pharmacies and consumers as of July 1, 2025 Key Points: Click here to see IA Bulletin […]

Wyoming Mandates Updates to Insurance Forms After Regulation Changes—Insurers Must Comply by Refilling All Impacted Documents

WY| Wyoming DOI Memorandum Effective September 16, 2025, the Wyoming Insurance Regulations Chapter 11 has been amended to require insurers to update and refile any previously approved insurance forms that now conflict with new statutory or regulatory requirements, ensuring all forms comply with current Wyoming law before further delivery or issuance; insurers must promptly amend […]

Utah Sets Standard Rates to Protect Consumers from Surprise Ambulance Bills

UT| Utah Insurance Department Bulletin 2025-9, provides guidance to insurers on implementing HB301, which sets payment standards for ground ambulance services effective May 7, 2025. It outlines new regulations for insurers regarding allowable rates for base charges, medications, and mileage for ground ambulance providers, incorporates restrictions against balance billing patients, and requires insurers to review […]

Nevada Updates TPA Rules: Written Agreements Required for All Insurance Administrators

NV| Nevada Division of Insurance Bulletin 25-001 outlines statutory requirements for written agreements between insurers and administrators (third-party administrators) within Nevada, especially for workers’ compensation plans. It clarifies compliance expectations for all parties, emphasizes restrictions on subcontracting, and details updated notification obligations. Main Points: Click here to see NV Bulletin 25-001

Colorado Issues Emergency Regulation Extending Health Plan Renewal Notice Deadline for 2026

CO| Colorado Emergency Regulation 25-E-05 establishes special timeline requirements for health insurance carriers to issue renewal notices for individual health benefit plans for the 2026 plan year, prompted by recent legal and legislative changes affecting rate and program administration. The regulation supersedes the standard 90-day advance notice rule, providing carriers with extended time to notify […]