Louisiana Tightens Oversight on Pharmacy Claims with Updated Insurance Regulation
LA| The July 2025 amendment to Louisiana Regulation 90—promulgated by the Louisiana Department of Insurance—strengthens oversight of pharmacy claim payments and auditing procedures by health insurance issuers and PBMs (Pharmacy Benefit Managers). It mandates that insurers submit comprehensive “Prompt Payment Procedures Plans” for both electronic and non-electronic claims, ensuring compliance with statutory deadlines and standards. […]
Colorado Mandates New Disclosure Forms for Auto Insurance Policies Starting 2025
CO| The Colorado Amended Regulation 5-2-16 establishes mandatory disclosure and communication requirements for insurers and producers offering or renewing private passenger automobile insurance policies in the state. Effective September 14, 2025, the regulation requires insurers to provide a Summary Disclosure Form in English and, when elected, a Summary Document Form in Spanish outlining coverages, exclusions, […]
The Excess Line Association of New York (ELANY) Announces Change to List of Surplus Line Insurers
NY| Effective July 1, 2025, ELANY has removed Peleus Insurance Company from its list of approved Excess & Surplus (E&S) insurers following its merger into Colony Insurance Company, which remains active in the E&S market. ELANY will only process Peleus-related submissions for policies effective on or before June 30, 2025. The updated list comprises insurers […]
Pennsylvania Requires All Auto Insurers to Report 2024 Premium Activity in Annual Data Call
PA| The Pennsylvania Insurance Department has issued its 2024 Private Passenger Automobile Data Call, requiring various insurance companies to submit specific data depending on their activity in the state. The data call consists of four parts, with different requirements based on each company’s direct written premium in 2024. Submissions are due by October 15, 2025, […]
North Carolina Allows Extra Prescription Refills After State of Emergency Declared Over Tropical Depression Chantal
NC| Bulletin 25-B-08 from the North Carolina Department of Insurance notifies all insurance entities that, following Governor Stein’s issuance of Executive Order No. 18 in response to Tropical Depression Chantal and the resulting state of emergency in several counties, health benefit plans must comply with statutory requirements to authorize extra prescription medication refills for affected […]
Pennsylvania Surplus Lines Association Issues Bulletin on Act 45 of 2024 and Reporting Personal and Commercial Lines Service Fees
PA| On July 15, 2025, the Pennsylvania Surplus Lines Association issued a Bulletin on Act 45 of 2024, signed into law on July 8, 2025, requires surplus lines agencies to report both personal and commercial lines service fees when issuing insurance policies in Pennsylvania. The law led to enhancements in the Electronic Filing System (EFS) […]
Louisiana Mandates Premium Disclosure on Insurance Renewals Starting 2026
LA| The Louisiana Department of Insurance issued Advisory Letter 2025-03 to notify authorized property and casualty insurers about a new mandatory disclosure requirement established by Act 11 of the 2025 Regular Legislative Session. Effective January 1, 2026, insurers must prominently display the prior policy premium alongside the renewal premium when issuing homeowners’ or private passenger […]
Hawaii Encourages Insurers to Expand Preventive Care Coverage to Grandfathered Health Plans
HI| Memorandum 2025-5H, from the Hawaii Department of Commerce and Consumer Affairs Insurance Division, encourages all health insurance providers in Hawaii—including insurance companies, mutual benefit societies, and health maintenance organizations—to voluntarily extend preventive care coverage, as established by the Affordable Care Act (ACA) and effective as of July 1, 2025, to members of grandfathered health […]
Texas Issues Guidance for Insurers, Adjusters, Agents, HMOs and Contractors Following Hill Country Flood Disaster
TX| The Texas Department of Insurance (TDI) issued guidance in response to the Hill Country flooding disaster, outlining expectations for insurers, HMOs, agents, and adjusters to support affected policyholders and ensure fair treatment during recovery efforts. Bulletin #B-0007-25 emphasizes cooperation, consumer education, flexibility in policy administration, and adherence to state laws regarding claims and renewals. […]
Louisiana Enforces Stricter Rules on Life Insurance Beneficiaries and Policy Forms
LA| The Louisiana Department of Insurance revised and reissued Directive 180 to clarify and enforce regulations regarding life insurance policy forms and marketing practices, specifically concerning insurable interest. The directive highlights that Louisiana law prohibits employers from taking out life insurance policies on employees for the employer’s benefit, except in traditional business scenarios like key […]