Delaware Updates Consumer Protection Standards for Qualified Health Plans in Plan Year 2026
DE| The Delaware Department of Insurance has issued Bulletin No. 154 to notify Qualified Health Plan (QHP) issuers in the Individual Market about new notice requirements for Plan Year 2026 following recent CMS guidance. Due to ongoing eligibility determination challenges, issuers are permitted to omit certain premium and Advance Premium Tax Credit (APTC) details from […]
Maine Bureau of Insurance Announces Major Legislative Updates Affecting Health, Property, and Casualty Insurance
ME| The State of Maine Bureau of Insurance Bulletin 485 outlines a comprehensive set of new legislative and regulatory changes enacted during the First Regular Session of the 132nd Legislature, which will impact health insurance, property & casualty insurance, and general insurance matters. These changes, effective primarily from September 24, 2025, address a broad range […]
New Mexico Announces Updated Prima Facie Rates for Credit Life and Accident & Health Policies
NM| In (updated)Bulletin 2025-002 from the New Mexico Office of Superintendent of Insurance, issued on May 9, 2025. It outlines the presumptively acceptable (prima facie) premium rates for credit life and credit accident and health insurance, effective July 1, 2025. The bulletin specifies the maximum rates considered reasonable for insurers, provides detailed tables for premium […]
Louisiana Implements New Insurance Fraud Fee Assessment and Allocation Rules
LA| The new and amended rules published in the Louisiana Register, July 2025, including: (1) insurance fraud fee assessments and allocations under Louisiana Department of Insurance Rule 13, and (2) updated procedures for state tax installment agreements administered by the Department of Revenue. Rule 13 implements the collection and dedicated use of insurer fees to […]
Delaware Issues Guidance Limiting Additional Charges on Insurance Policies
DE| The Delaware Department of Insurance Bulletin No. 41 addresses the increasing number of property and casualty insurance carriers adding miscellaneous fees to insurance policies. The Department clarifies that, under Delaware law, insurers must include all operating expenses within the filed premium rates, and may not add separate policy, inspection, issuance, or administrative fees—only certain […]
Virginia Bureau of Insurance Issues New Guidance on Material Changes for MCHIPs
VA| Administrative Letter 2025-02, issued by the Virginia State Corporation Commission Bureau of Insurance, provides updated guidance for Managed Care Health Insurance Plans (MCHIPs) regarding what constitutes a material change requiring prior approval under § 38.2-5802 D of the Code of Virginia. The letter replaces previous guidance (Administrative Letter 1998-11) and outlines procedures for identifying, […]
Montana Insurers Face October Deadline to Certify Compliance with Open-Container and Cannabis Laws
MT| The Montana Commissioner of Securities and Insurance (CSI) Advisory Memorandum, effective July 2, 2025, outlines compliance requirements for insurers regarding the treatment of open-container and marijuana possession violations in vehicles. These infractions, under Montana Code Annotated §§ 61-8-1026 and 61-8-1027, are non-criminal, carry no driver record impact, and must not be used to influence […]
Louisiana Sets Guidelines for Insurtech Innovation with New Sandbox Regulation
LA| The Louisiana Department of Insurance promulgated Regulation 134 in July 2025 to implement the Insurance Regulatory Sandbox Program, established by Act 229 of 2024. This program authorizes the commissioner to grant temporary waivers from certain insurance laws, allowing for the limited testing of innovative insurance products or services within the state. Regulation 134 outlines […]
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, […]