- Insurance Regulatory Insights
- Posts
- 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
Fail: bill has died in committee or failed to pass
Medicare Advantage/Part D
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
All | New | CMS' draft guidance for the second cycle of the Medicare Drug Price Negotiation Program for 2026 and 2027; Comments must be received by July 2, 2024 | |
MS | Approved | Prohibit Issuers of Medicare Advantage From Making Telephone Solicitations | |
VT | New | Revises 2006 bulletin regarding Marketing Medicare Advantage and Part D plans; References the most current version of the Med Supp minimum standards rule and reminds brokers and producers to make reasonable efforts to determine the appropriateness of a recommended purchase or replacement |
Medicare Supplement
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
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 | |
CA | Movement | Beginning January 1, 2025, introduces 90-day annual open enrollment period beginning on January 1 of each year | |
RI | Movement | Medicare Part B special enrollment period for end of federal health emergency not allowing for exclusion on pre-existing conditions or discrimination in pricing | |
VT | New | Extends Med Supp open enrollment periods for Medicare beneficiaries terminated from Vermont Medicaid through January 1, 2025 |
Dental
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
CO | Approved | Effective June 30, 2024, provides loss ratio guidance and requires filing report annually before July 31, starting in 2024 | |
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 | |
LA | Movement | Establishes Dental Loss ratio standards and requires carriers to submit a report annually by June 30, starting in 2025. | |
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 |
Other
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
CA | Movement | Guaranteed Health Care for All CA citizens | |
RI | Movement | Establishes a universal, comprehensive, affordable single-payer health care insurance program and helps control health care costs, which would be referred to as, "the Rhode Island Comprehensive Health Insurance Program" (RICHIP) | |
TN | Approved | Effective July 1, 2024, clarifies what is excluded from the definition of Home Health Service | |
All | New | Final rule published by CMS on May 6, 2024; Prohibits discrimination in certain health programs (including every health program or activity, any part of which receives Federal financial assistance, directly or indirectly, from the Department or excepted benefit plans) based on race, color, national origin, sex, age, or disability |
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!