Proposed Rules and Public Comment

Proposed Rules

Insurance and Healthcare

Reg. H-2009-02, Health Care Stop Loss Insurance

This regulation applies to each health care stop loss insurance policy or contract that is delivered or issued for delivery by an insurer in Vermont. The proposed amendments to the rule: 1) increase minimum annual attachment points for claims incurred per individual; 2) increase the minimum annual aggregate attachment points; and 3) limit higher attachment points for any individual or group of individuals within small employer groups to three times the attachment point chosen for the policy.

Public Hearing and Comments

May 17, 2021
The hearing will be held remotely via Microsoft Teams, interested parties may call in at +1 802-828-7667; Conference ID: 363 817 659#
Public comment period ends: June 7, 2021
Sebastian Arduengo (Sebastian.Arduengo@vermont.gov) is taking public comment.

Documents

• Reg. H-2009-02 Filing to ICAR
• Proposed Reg. H-2009-02 (Redlined Revisions)
• Reg. H-2009-02 Filing to SOS
• Proposed Reg. H-2009-02 to SOS
• Proposed Reg. H-2009-02 to SOS (Redlined Revisions)

Reg. I-2021-01, The Third Party Administrator Rule

The purpose of this rule is to set forth standards and requirements, pursuant to the authority contained in 8 V.S.A. § 15 and 18 V.S.A. §§ 9402(8) and 9417, for entities engaged in the business of insurance, as defined in 8 V.S.A. § 3301a, that directly or indirectly underwrite, collect charges, collateral or premiums from, or adjust or settle claims on residents of this state.

Public Hearing

February 25, 2021 at 10:00 AM
This hearing will be held remotely via Microsoft Teams.
The Department invites interested parties to call in: +1(802)828-7667, Conference ID: 419 007 662#

Documents

• Reg. I-2021-01 Filing to Secretary of State
• Proposed Reg. I-2021-01 (Redlined Revsions)
• Reg. I-2021-01 Filing to ICAR
• ICAR Agenda
• Proposed Reg. I-2021-01
• Reg. I-2021-01 Filing to ICAR
• Proposed Reg. I-2021-I

Emergency Rule H-2020-06-E

This emergency rule rescinds and supersedes the provisions of Rules H-2020-02-E, H-2020-03-E, and H-2020-04-E, and Insurance Bulletins #209 and #214. The purposes of H-2020-06-E are to:

• expand health insurance coverage for, and waive or limit cost-sharing requirements directly related to, COVID-19 diagnosis, treatment, and prevention;
• suspend health insurance plan deductible requirements for all prescription drugs, except to the extent that such an action would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to 26 U.S.C. § 223; and
• expand patients’ access to and providers’ reimbursement for health care services, including preventive services, consultation services, and services to new patients, delivered remotely through telehealth, audio-only telephone, and brief telecommunication services.

Emergency Rule H-2020-05-E

The purpose of this emergency rule is to expand health insurance coverage for COVID-19 diagnosis, treatment and prevention by relaxing provider credentialing requirements in order to facilitate the reimbursement through commercial insurance for health care services provided by physicians or other health care professionals who hold an equivalent license in another State or who provide care at physical locations where such health care providers are not credentialed. 

• Emergency Rule H-2020-05-E
• Emergency Rule H-2020-05-E Filing

Emergency Rule H-2020-01-E

This emergency rule is promulgated pursuant to 18 V.S.A. § 9414 and 8 V.S.A. § 15 and in response to the State of Emergency declared by the Governor of the State of Vermont on March 16, 2020 regarding the outbreak of COVID-19.  The purpose of this emergency rule is to relax provider credentialing requirements in order to facilitate the reimbursement through commercial insurance during the State of Emergency for health care services provided by physicians or other health care professionals who hold an equivalent license in another State.

• Emergency Rule H-2020-01-E
• Emergency Filing to the Secretary of State

Banking

Currently, there are no proposed rules for the Banking Division. 

Captive Insurance

Currently, there are no proposed rules for the Captive Insurance Division. 

Securities

Currently, there are no proposed rules for the Securities Division. 

Other Public Comment Opportunities

No other comment opportunities available at this time.