Colorado Announces Changes to Reinsurance Payment Process for Plan Year 2024
CO| Colorado Division of Insurance issues Bulletin B-4.145 to inform health insurance carriers participating in Colorado’s state-based reinsurance program about changes to the reinsurance payment process for Plan Year 2024. Specifically, the Division of Insurance (Division) will issue preliminary reinsurance payments to carriers by January 17, 2025, based on data available to the Division as […]
Oregon Repeals Rules for Calculating Out-of-Network Provider Reimbursement Rates
OR | The Oregon Division of Financial Regulation (DFR) has announced that three rules have been repealed due to the statutory authority for their enactment expiring. Click here for more information.
MD Issues Bulletin on 2026 ACA Individual and Small Employer Form and Rate Filing Instructions
MD| Bulletin 25-1, from the Maryland Insurance Administration, provides guidance for insurers and health organizations regarding form and rate filing requirements for individual and small employer health benefit plans for the 2026 policy year. It outlines specific deadlines for various types of plans, including individual health benefit plans, small employer health benefit plans, and stand-alone […]
Oklahoma Amends Bulletin 2024-07 Affecting Health Benefit Plans and Motor Vehicle Repairs in Oklahoma
OK| The amended bulletin from the Oklahoma Insurance Commissioner, dated October 29, 2024 (revised January 2, 2025), outlines rule changes effective August 11, 2024, affecting health benefit plans and motor vehicle repairs in Oklahoma. The bulletin details new requirements for annual provider directory audits and the establishment of competitive prices for motor vehicle repairs. Insurance […]
South Carolina Issues Bulletin on Examinations of Pharmacy Benefits Managers and Pharmacy Services Administrative Orgs Begin January 2, 2025
SC| The South Carolina Department of Insurance has issued Bulletin Number 2025-01, reminding that examinations of Pharmacy Benefits Managers (PBMs) and Pharmacy Services Administrative Organizations (PSAOs) will begin on January 2, 2025, as mandated by S.C. Code Ann. §§ 38-71-2250 and 38-71-2340(B)(1)1. These examinations, which will occur at least once every five years, aim to ensure […]
New Hampshire Issues Bulletin for Guidance on Prior Authorization Reporting
NH| Bulletin #INS 25-001-AB from the New Hampshire Insurance Department announces changes to prior authorization requirements for health care services. The bulletin outlines new provisions resulting from the adoption of SB 561, which took effect on January 1, 2025. These changes include shortened time frames for health carriers to make prior authorization decisions, the introduction […]
Oregon Issues Permanent Administrative Order Regarding 2025 Gender-Affirming Treatment Rule
OR| The Oregon Office of Secretary of State issued a Permanent Administrative Order (ID 41- 2024) on behalf of the Department of Consumer and Business Services – Insurance Regulation on new administrative rules for gender-affirming treatment coverage in Oregon, effective January 1, 2025. These rules aim to ensure that health insurance carriers provide comprehensive coverage […]
Puerto Rico Extends Compulsory Liability Insurance Coverage for Motor Vehicles Amid Registration Renewal Delays
PR| The Puerto Rico OCI Ruling Letter No. CN-2025-366-D outlines the extension of compulsory liability insurance coverage for motor vehicles with registrations expiring in December 2024, as per a Department of Transportation and Public Works (DTOP) resolution. It provides detailed guidelines for insurers, insureds, and the Joint Underwriting Association (ASC) to ensure continuity of coverage […]
California Announces Addition to its List of Approved Surplus Line Insurers
CA | The Surplus Line Association of California has issued Bulletin #1490 announcing that the California Department of Insurance has updated its List of Approved Surplus Line Insurers to reflect the addition of Falls Lake National Insurance Company (Ohio), effective December 30, 2024. Click here for more information.
Pennsylvania Reminds Surplus Lines Licensees to File and Remit Gross Premium Tax Reports
PA | Each year at this time all surplus lines licensees (resident and non-resident) licensed in the Commonwealth of Pennsylvania are reminded to file and remit the collected gross premium surplus lines tax for the preceding calendar year. The surplus lines tax levied by the Commonwealth of Pennsylvania is three percent (3%) of taxable gross […]