Connecticut Issues New Guidelines for Health Insurance Rate Filings in 2025
CT| The Connecticut Insurance Department’s Bulletin HC-81-25, outlines comprehensive requirements for health insurance rate filing submissions by carriers operating in Connecticut. The Bulletin mandates that all rate filings comply with both state statutes and federal regulations, including those under the Patient Protection and Affordable Care Act (PPACA). It specifies detailed actuarial and documentation requirements, addresses […]
Connecticut Insurance Department Issues New ACA Compliance Guidelines for 2026
CT| The Connecticut Insurance Department’s Bulletin HC-90-25, outlines filing requirements for individual and small employer group health insurance policies subject to the Affordable Care Act for plan years beginning January 1, 2026. The bulletin applies to all carriers operating in Connecticut, both on and off the state exchange, and details the process and deadlines for […]
Georgia Implements Ashley Wilson Act to Ensure PTSD Coverage for First Responders
GA| The Georgia OCI issued Directive 25-EX-2 outlining the implementation of the Ashley Wilson Act (AWA), which requires public entities in Georgia to provide insurance coverage for first responders—both employees and volunteers—for post-traumatic stress disorder (PTSD) resulting from traumatic events, effective January 1, 2025. The directive mandates that insurance carriers offering such coverage must submit […]
Georgia Insurers Mandated to Submit Annual Mental Health and Autism Data Under New Directive
GA| The Georgia Office of Commissioner of Insurance OCI poste Directive 25-EX-3, mandating that all insurers offering health benefit plans covering mental health or substance use disorders—including autism spectrum disorder—must annually submit mental health parity and addiction equity data to the Office of the Commissioner of Insurance (OCI), as required by Georgia law. The OCI […]
Idaho Surplus Line Association Announces 2025 Export List Review, Annual Meeting, and New Insurer Additions
ID| The April 28, 2025 bulletin from the Idaho Surplus Line Association (SLA Idaho) provides key updates and announcements relevant to members and stakeholders: Click here to see SLA ID April 28, 2025 Bulletin
South Dakota Mandates Mental Health, Network Adequacy, and Filing Compliance for 2026 ACA Plans
SD| The South Dakota Division of Insurance Bulletin 25-02 outlines key filing deadlines and requirements for health insurance issuers offering ACA-compliant plans effective January 1, 2026. Issuers must submit product filings, including rate justifications based on both current law and potential extensions of premium tax credits, by May 28, 2025. Additional mandates include the submission […]
Utah Updates Health Benefit Plan Rules for 2026: Focus on Deadlines and Consumer Protections
UT| The Utah Insurance Department Bulletin 2025-6 outlines the filing requirements and standards for insurers offering health benefit plans and stand-alone dental plans for the 2026 plan year. It provides deadlines, compliance guidance, and reiterates state and federal requirements for insurers to ensure all filings are accurate, complete, and compliant with legal standards. Key points: […]
Montana Releases 2026 Network Adequacy Provider Templates for Insurers
MT| The Montana Commissioner of Securities and Insurance (CSI) has updated the 2026 Networks Adequacy Filing Templates detailing the requirements for reporting contracted hospitals, pharmacies, and healthcare providers. Insurers must accurately list all in-network facilities and providers, ensure data integrity by following strict formatting rules, and include only those actively licensed and contracted. These templates […]
Louisiana Streamlines Regulations, Removes Outdated Healthcare and Insurance Rules
LA| The April 20, 2025 Notice published in the Louisiana Register, Vol. 51, No. 4, announces the repeal of several Louisiana regulations, including Regulation 48 (Standardized Claim Forms) and Rule 7 (Legal Expense Insurers), by the Department of Insurance and the Department of Health. Regulation 48, originally established to standardize healthcare billing forms and improve […]
Michigan DIFS Clarifies No-Fault Auto Insurance Billing Rules After Key Court Rulings
MI| The Michigan Department of Insurance and Financial Services (DIFS) issued Bulletin 2025-11-INS to update payment and billing guidance for no-fault automobile insurers and healthcare providers in light of recent court decisions. The bulletin clarifies that, following the Michigan Supreme Court’s Andary v USAA and the Court of Appeals’ Fremont Insurance Company v Lighthouse Outpatient […]