Producers Urged to Confirm Compliance with New Oklahoma STLDI Guidelines
OK| The Oklahoma Insurance Department Bulletin No. 2025-08 informs health insurers and HMOs about federal changes affecting enforcement of Short-Term Limited Duration Insurance (STLDI) plans. Following federal guidance that deprioritizes enforcement of strict 2024 federal duration limits, Oklahoma carriers may now follow state law, allowing STLDI policies for up to three years if approved by […]
Wisconson Statewide Guidance: No Cost-Sharing Allowed for COVID-19 Vaccine Coverage in Health Plans
WI| Governor Tony Evers has directed the Office of the Commissioner of Insurance to clarify that both health insurers and governmental self-funded health plans in Wisconsin must comply with coverage requirements for COVID-19 vaccinations. Following a standing medical order issued by the State Epidemiologist authorizing COVID-19 vaccines for eligible recipients, and consistent with Wisconsin’s anti-discrimination […]
Maryland Carriers Face Key Deadline for Automobile Assessment Recoupment Decisions
MD| Bulletin 25-13 , issued by the Maryland Insurance Administration, reminds Maryland property and casualty carriers offering automobile insurance of their responsibilities regarding the Maryland Insufficiency Assessment. Carriers were required to elect by June 30, 2025, whether to recoup their portion of the assessment from policyholders or waive this right. The document clarifies that recoupment […]
Increased Transparency for Homeowners and Medical Liability Insurance Rates in Maryland
MD| Bulletin 25-14, issued the Maryland insurance Administration, notifies all property and casualty insurers writing homeowners and medical liability policies in Maryland that the Office of the Attorney General’s Peoples Insurance Counsel Division (PICD) is now granted access to Insurance Commissioner records, including rate filings and supplementary rate information, through the NAIC System for Electronic […]
Washington State Launches Opt-In Rulemaking for Self-Funded Health Plans Under Latest PBM Legislation
WA| TA Advisory Letter 2025-02, issued by Washington Office of Insurance Commissioner, provides interpretive guidance from the Washington State Office of the Insurance Commissioner on the application of Chapter 48.200 RCW and new legislation (E2SSB 5213) affecting health care benefit managers, including pharmacy benefit managers, in Washington as of September 2025. Main Points: Click here […]
Compliance Alert: Michigan Sets October Deadline for Reciprocal Exchange Information Updates with DIFS
MI| Bulletin 2025-21-INS issued by the Michigan Department of Insurance and Financial Services revises and restates continuous filing requirements for reciprocal insurance exchanges under Chapter 72 of the Insurance Code, emphasizing that required filings must be kept current with DIFS and specifically extends or updates the date for correcting previously filed information to October 31, […]
Maryland Bulletin Outlines Steps for Health Plan Exemption Filings for 2026
MD| Bulletin 25-12, from the Maryland Insurance Administration, provides guidance for insurers, nonprofit health service plans, and HMOs in Maryland on how to request exemption from participation in the Maryland Health Benefit Exchange for 2026, outlining eligibility based on specific premium thresholds and procedural requirements. Key Points Click here to see MD Bulletin 25-12
Maine Requires Full Insurance Coverage for All Recommended Immunizations, Including Covid-19
ME| Maine Bureau of Insurance Bulletin 486, addressing mandatory health insurance coverage for immunizations, specifically including Covid-19 vaccines, based on state law and guidelines from recognized medical academies. Key Points: Click here to see Bulletin 486
Michigan Cracks Down on Improper Auto Insurance Claims Handling—Regulatory Action Announced
MI| Michigan Department of Insurance and Financial Services Bulletin 2025-19-INS addresses improper claims administration practices in the automobile insurance industry, warning insurers about violations of the Insurance Code and outlining regulatory actions that may result from unfair claims handling. The bulletin emphasizes that insurers must adopt reasonable standards for prompt, fair, and equitable settlements, and […]
Michigan Reminds PBMs of Strict Disclosure and Compliance Rules in New DIFS Bulletin
MI| The Michigan Department of Insurance and Financial Services Bulletin 2025-20-INS provides a reminder to Pharmacy Benefit Managers (PBMs) of their statutory disclosure obligations during investigations under the Pharmacy Benefit Manager Licensure and Regulation Act (PBMLRA) and the Third Party Administrator Act (TPAA), emphasizing that PBMs must fully comply with DIFS requests for information, data, […]