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Arkansas Insurance Department Issues Guidance for 2026 On-Marketplace Rate Filings Amid ARPA Uncertainty

AR| The Arkansas Insurance Department (AID) issued Bulletin No. 4-2025 to provide guidance for Plan Year 2026 individual, on-Marketplace rate filings. The bulletin addresses the uncertainty surrounding the extension of the American Rescue Plan Act (ARPA) tax credits and provides standardized instructions for applying a Cost Sharing Reduction (CSR) load to On-Marketplace Silver plans. Key […]

California Issues Bulletin Ordering Insurers to Fully Investigate Consumers’ Smoke Damage Claims

CA| The California Department of Insurance has issued Bulletin 2025-7 to guide property and casualty insurance companies handling smoke damage claims from wildfires in California. The bulletin clarifies that recent court cases, such as Another Planet Entertainment, LLC v. Vigilant Insurance Company and Gharibian v. Wawanesa General Insurance Company, do not eliminate coverage for smoke […]

Puerto Rico’s 2026 Health Insurance Filing Guidelines: Key Deadlines, Compliance Standards, and Transparency Requirements

PR| Puerto Rico OCI Ruling Letter No. CN-2025-367-AS outlines the regulatory requirements for health and disability insurers in Puerto Rico submitting forms and rate filings for health insurance plans effective in 2026. It emphasizes compliance with the Health Insurance Code of Puerto Rico (HICPR) and provides detailed instructions on submission timelines, formats, and supporting documentation. […]

New Jersey Updates HINT Enrollment Form to Meet Federal Data Requirements

NJ| The New Jersey Department of Banking and Insurance has issued Bulletin No. 25-04 to notify health insurance carriers and related organizations that the HINT Group Enrollment/Change Request Form has been revised to collect enrollee-level data required by the Centers for Medicare and Medicaid Services (CMS) for the EDGE environment. Carriers must start using the […]

South Dakota Issues Bulletin on Compliance Requirements for Enhanced Direct Enrollment Entities

SD| Bulletin 25-01 from the South Dakota Division of Insurance, addresses compliance issues for Enhanced Direct Enrollment Entities (EDEs) in the health insurance market. The bulletin outlines new requirements and clarifications for EDEs, health insurance issuers, and insurance producers operating in South Dakota. The bulletin gives all affected parties 90 days from the issue date […]

Arkansas Issues Bulletin Regarding 2025 Company Appointment Renewals

AR | The Arkansas Insurance Department has issued Bulletin No. 3-2025. The following procedures apply in 2025 for appointment renewals and terminations:An insurance company must annually review its records on its appointed Arkansas producers and business entities (insurance agencies) and decide whether the company will renew each appointment. The company can research its appointed producers […]