Telos Actuarial brings you this week’s legislative and regulatory insurance insights from around the nation.

Bill “Status” is defined in the tables below by:

  • New: proposed law recently introduced for consideration by Legislature

  • Approved: passed by the Legislature and approved by the Governor

  • Movement: bill has progressed in legislative process

Medicare Advantage/Part D

State

Bill Number

Status

Summary

MS

Movement

Prohibit Issuers Of Medicare Advantage From Making Telephone Solicitations

MD

Approved

Extends state prescription assistance program until Dec. 1, 2030 for those with Part D

Medicare Supplement

State

Bill Number

Status

Summary

CA

Movement

Beginning January 1, 2025, introduces 90-day annual open enrollment period beginning on January 1 of each year

IL

Movement

Amends annual OE period- birthday rule to include the individual may also purchase a plan from any affiliate authorized in the state offering equal or lesser benefits

NE

Movement

Makes at least one plan available to U65 with disability and premium not to exceed 150% of >65.  Also defines requirements for medical supplies and reimbursement

RI

Movement

Insurers should make available all plans to individuals eligible for Medicare by reason of disability or end-stage renal disease. Premium rates cannot exceed rates for 65+

Dental

State

Bill Number

Status

Summary

IL

Movement

Beginning January 1, 2025, requires annual dental loss ratio filing submission.  Provides a formula for calculating minimum dental loss ratios, and provides minimum requirements.

RI

Movement

Requires dental health insurance carriers to file an actuarial memorandum disclosing incurred claims/earned premiums, to assist with a study report / recommendations regarding a dental insurance loss ratio.

STLDI

State

Bill Number

Status

Summary

IL

Movement

Provides that no company shall issue, deliver, amend, or renew short-term, limited-duration insurance.

IL

Movement

Policy must have an expiration date less than 181 days after the effective date or December 31 of the current year, whichever is later

All A&H Products

State

Bill Number

Status

Summary

CA

Movement

Guaranteed Health Care for All CA citizens

Telos Actuarial’s team of experienced regulatory compliance professionals are ready to help YOU stay informed of legislative and regulatory changes. Reach out to us for more information!

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