Delaware Issues Bulletin to Carriers on the Use of AI in Insurance
DE| The Delaware Department of Insurance issued Bulletin No. 148 to establish regulatory expectations for insurers using AI systems in consumer-impacting decisions, effective immediately. This bulletin mandates compliance with existing laws prohibiting unfair discrimination and trade practices while outlining governance requirements for AI implementation. Key sections: The framework emphasizes proportionality – controls must match the […]
Alaska Issues Regulatory Order Regarding Surplus Lines Placement List Code Number Corrections
AK | On January 7, 2025, in accordance with 3 AAC 25.040, the Director of the Division of Insurance issued Regulatory Order R 25-01 listing the kinds of insurance that may be placed with a non-admitted insurer. After Regulatory Order R 25-01 was issued, the Division determined that the code numbers for the risk class […]
Tennessee Issues New Reporting Requirements for Non-Admitted Insurers on Surplus Lines Policies
TN| The Tennessee Department of Commerce and Insurance issued Bulletin 25-01 to all non-admitted insurers doing business in Tennessee, outlining new reporting requirements for surplus lines insurance policies effective from 2024 onwards. The bulletin aims to reconcile premiums written by non-admitted insurers with those reported by surplus lines filers in Tennessee. Key Points: Click here […]
Utah Updates Insulin Prescription Caps for 2026
UT| Bulletin 2025-3 from the Utah Insurance Department, outlines updated insulin prescription caps for health benefit plans issued or renewed in the 2026 calendar year. Key Points: Click here to see UT Bulletin 2025-3
Virginia Approves Updates to Workers’ Compensation Manual for Hazardous Material and Construction Classifications, Effective January 2026
VA| The Virginia State Corporation Commission, through Administrative Order No. 12194 dated February 3, 2025, approved revisions proposed by the National Council on Compensation Insurance (NCCI) to its Basic Manual for Workers’ Compensation Insurance in Virginia. These amendments pertain specifically to classifications for hazardous material remediation and construction work involving iron or steel erection not […]
Arizona Updates Health Care Provider Timely Payment and Grievance Law
AR| Arizona Department of Insurance Bulletin 2025-01 (INS) outlines updates to Arizona’s Health Care Provider Timely Payment and Grievance Law, emphasizing legislative amendments, insurer obligations, and reporting requirements. Key points: The bulletin supersedes previous guidance and reinforces insurers’ accountability under ARS §§ 20-3101 and 20-3102. Click here to see full AZ Bulletin 2025-01 (INS)
Colorado Amends Regulation 4-2-65 Regarding Establishing Carrier Payment Arbitration Program for Out-of-Network Providers
CO| The Amended Regulation 4-2-65, which establishes a carrier payment arbitration program for out-of-network providers, effective March 30, 2025, details the process for out-of-network providers to request arbitration if they believe the payment received from a carrier was insufficient based on the complexity and circumstances of the services provided. The regulation covers the arbitration process, […]
Colorado Amends Regulation 4-2-49 Concerning the Development and Implementation of Uniform Drug Benefit Prior Authorization and Appeals Processes
CO| The Amended Regulation (4-2-49), concerning the development and implementation of a uniform drug benefit prior authorization process and required drug appeals process, establishes requirements for carriers offering health benefit plans in Colorado that provide prescription drug benefits. It outlines the process for prior authorization requests, including standard and expedited exception processes, notification requirements, and […]
Colorado Issues New Regulation 4-2-101 Concerning Prior Authorization Reporting Requirements
CO| The NEW Regulation 4-2-101, effective March 30, 2025, outlines new reporting requirements for health insurance carriers in Colorado regarding prior authorization processes. It mandates carriers to disclose information about prior authorization requests, exemptions, and prescription drug formulary requirements on their public-facing websites. The regulation aims to enhance transparency and standardize reporting across the industry. […]
Colorado Issues New Regulation 4-2-102 for Prior Authorization Annual Attestation Requirements
CO| The New Regulation 4-2-102, issued by the Colorado Department of Regulatory Agencies’ Division of Insurance, concerning prior authorization annual attestation requirements for health benefit plans. This regulation, effective March 30, 2025, requires carriers offering health benefit plans to attest compliance with annual reviews and reporting requirements as per Colorado statutes. The regulation applies to […]