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Colorado Enforces Stronger Oversight of Pharmacy Benefit Managers With Updated 2025 Regulation

CO| Colorado’s Amended Regulation 4-2-97 establishes comprehensive annual registration and compliance requirements for pharmacy benefit managers (PBMs) operating in Colorado, including detailed application procedures, disclosure obligations, and enforcement mechanisms. Effective November 15, 2025, all PBMs must provide organizational, officer, and compliance information during both initial and renewal registrations and pay a $2,500 fee; they must […]

Hawaii Insurance Division Urges Insurers to Ensure Uninterrupted COVID-19 Vaccine Supplies and Coverage

HI| The Hawaii Insurance Commissioner‘s Memorandum 2025-7H emphasizes the continued importance of broad access to COVID-19 vaccinations for all age groups as a critical public health measure. Health insurers in Hawaii are directed to provide uninterrupted coverage for COVID-19 vaccinations for individuals aged six months and older, without cost-sharing or utilization management, including for off-label […]

Missouri Insurers Must Update 2026 Health Plan Rates After Major Federal Court Decision

MO| Bulletin 25-08, by the Missouri DCI, provides detailed instructions for insurance companies in Missouri to revise health insurance rate and form filings for Plan Year 2026, in response to new federal guidance and recent court decisions affecting actuarial value standards and eligibility for catastrophic plans. Key Points: Click here to see MO Bulletin 25-08

Insurers Must Register for Missouri’s New MOIVS Platform by October 15, 2025

MO| Missouri Insurance Bulletin 25-09 outlines the implementation of Senate Bill 398 and the development of the Missouri Insurance Verification System (MOIVS), which aims to modernize and enforce the state’s uninsured motorist verification program. MOIVS will require real-time insurance verification, ongoing compliance monitoring, and the creation of a pre-trial diversion program. The program introduces several […]

New Jersey Health Carriers Must Cover COVID-19 Vaccines for All Ages, No Cost to Patients

NJ| Bulletin NO. 25-07, from the New Jersey Department of Banking and Insurance provides updated guidance on COVID-19 vaccine coverage for the 2025-2026 respiratory illness season. It affirms that all state-regulated health insurance carriers must continue covering COVID-19 vaccines and their administration without cost-sharing, in alignment with state law and recent directives from health authorities. […]

New York Insurers Mandated to Cover All Recommended Immunizations Without Cost-Sharing

NY| Insurance Circular Letter No. 5 (2025) from the New York Department of Financial Services reminds all insurers authorized to write accident and health insurance in New York of their continued obligation to cover immunizations and their administration for both children and adults at no cost-sharing, in line with state law and current recommendations from […]

Virginia Regulators: Only Licensed Title Insurers May Provide Full Coverage, Not Attorney Letters

VA| Virginia Bureau of Insurance‘s Administrative Letter 2025-05, clarifies that Attorney Opinion Letters (AOLs) are being marketed as alternatives to title insurance within Virginia, but they do not— and cannot by law—offer the same protections as regulated title insurance policies. The administrative letter outlines the legal distinctions between AOLs and title insurance, warning both consumers […]

Connecticut Guarantees No-Cost COVID-19 Immunizations Under State-Regulated Insurance

CT| The Connecticut Insurance Department Bulletin HC-133 confirms that coverage for COVID-19 immunizations remains mandatory for all Connecticut insurance policies as per state law, regardless of future changes to recommendations by the Advisory Committee on Immunization Practices (ACIP). Coverage must include all COVID-19 vaccines recommended by the Medical Academies (American Academy of Pediatrics, American Academy […]