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Insurance Regulatory Insights
Week of January 14, 2025
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 |
---|---|---|---|
IN | New | Proposing that beginning January 1, 2026, Med Supp policyholders are eligible for an annual open enrollment period within 60 days of their birthday, where they can purchase the same lettered Med Supp plan (including any variation of the letter) made available by an issuer different than their current policy. | |
NE | New | Proposed bill requiring insurers to offer Med Supp policyholders an annual open enrollment period beginning on the individual's birthday and 30 days after, effective January 1, 2026. | |
VA | New | Proposed bill requiring insurers to offer Med Supp policyholders an annual open enrollment period beginning on the individual's birthday and ending 60 days after, where the individual can purchase any policy made available by any insurer in Virginia that offers the same or lesser benefits than those provided by the current coverage (does not include innovative benefits). |
Dental
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
MO | Movement | Requires annual dental loss ratio filing submission by March 1 for the previous calendar year. Provides a formula for calculating minimum dental loss ratios, provides minimum requirements, and requires an annual rebate if loss ratio is less than 85%. |
Fixed Indemnity
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
CO | New | Addresses the Independent, Non-coordinated Excepted Benefits Coverage | |
VA | SERFF Notice (01/10/2025) | New | Provides guidance as a result of the U.S. District Court of the Eastern District of Texas setting aside and vacating the provisions of the federal Tri-Agency rule relating to the notice requirement for fixed indemnity insurance. If a carrier chooses not to provide the Federal Notice, the carrier must comply with the notice requirements of 14 VAC 5-141-30 A and 14 VAC 5-141-120 B 6. For carriers that choose to provide the Federal Notice, the Department will continue to waive the requirements of 14 VAC 5-141-30 A and 14 VAC 5-141-120 B 6. |
Medicare Advantage
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
CMS | (01/10/2025) | New | Proposed 2026 Payment Policy Updates for Medicare Advantage and Part D Programs |
Short-Term Medical
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
IN | New | Amends current provisions exempting short term insurance plans from accident and sickness insurance policy requirements to provide for a term of not more than 6 months (current law provides for a term of 364 days). |
All Products
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
IL | New | The Illinois Department of Insurance’s Chicago Office has relocated to the following address: |
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!