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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
Movement: bill has progressed in legislative process
Fail: bill has died in committee or failed to pass
Approved: passed by the Legislature and approved by the Governor
Upcoming: approved bill that has an upcoming effective date
Medicare Supplement
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
NM | New | Proposed bill requiring insurers to notify of and offer Med Supp policyholders an annual open enrollment period beginning on the individual's birthday and 60 days after. | |
NH | New | 1) Every issuer of Med Supp shall allow any beneficiary eligible for Medicare, including those disenrolling from current coverage by supplement insurance or a Med Advantage plan, to be offered a Med Supp plan based on community rating for the age of the recipient during the Medicare OE Period. Pricing of premiums based on medical underwriting or denial due to medical underwriting to cover preexisting conditions is prohibited for Med Supp plans. | |
IA | Movement | Proposed bill providing that Med Supp policyholders, including individuals under the age of 65 who qualify for Medicare due to disability, are eligible for a 30-day annual OE period beginning March 1. During the OE period, for at least one Med Supp policy offered and available in the state, issuers are prohibited from using medical underwriting, pre-existing condition exclusions, and pricing discrimination. | |
UT | Movement | Proposed bill creating a Med Supp OE period annually from Oct 15 through Dec 7, where an enrollee can switch to a comparable or lower tier plan offered by the same issuer as their current plan, without medical underwriting. Also, would implement the offering of Med Supp plans to individuals under 65 due to disability or ESRD. |
Medicare Advantage
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
MS | New | Amends Section 77-3-707, Mississippi Code of 1972, authorizing a telephone solicitor to make a telephone solicitation to any person in the state regarding any Medicare Advantage Plan with whom they have an established business relationship or who has requested a call from the company. | |
RI | New | Bill seeking to protect and expand traditional Medicare while urging the United States Government to pass legislation and for CMS to take administrative action to protect citizens against the Medicare Advantage issues described within the bill. | |
NH | New | Any licensed insurance company offering Medicare Advantage Plans in the state should provide 120 days' written notice to the commissioner when modifying or terminating its contract with CMS by mutual consent pursuant to 42 CFR 422.508, ceasing to offer MA plans in a particular county, or significantly modifying the offerings of its MA plans. |
Dental
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
MS | New | Proposed bill outlining dental loss ratio requirement (83%), calculation, rebate, and reporting requirements. | |
NE | New | Proposed bill outlining dental loss ratio requirement (85%), calculation, rebate, and reporting requirements. | |
CT | New | Proposed bill outlining dental loss ratio requirement (83%), calculation, rebate, and reporting requirements. |
All Products
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
MA | SERFF Notice (01/21/2025) | New | Effective February 7th, all mail should be sent to the Division of Insurance as follows: |
AK | Bulletin B 25-04 | New | Bulletin reminding health insurers to complete and submit the following by May 1, 2025:
|
AK | Bulletin B 25-05 | New | The Director will not take administrative action against an insurer that does not provide the names of reviewers for grievances if the insurer otherwise adheres to the grievance regulations. Insurers may use alternative identifiers provided. |
ME | Bulletin 482 | New | Suspends enforcement of certain provisions that require insurance companies offering health plans in Maine to include employee names and titles on notices of consumer appeal decisions. |
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!