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- Insurance Regulatory Insights
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!