# VT Insurance Bulletin #54: Coverage for Pregnancy and Pregnancy-Related Conditions

> Vermont · Agency guidance · In force

URL: https://www.frixlaw.com/law-library/statutes/VT_INS_B_54_19810422

## Section

- **Citation:** VT Insurance Bulletin #54
- **Heading:** Coverage for Pregnancy and Pregnancy-Related Conditions
- **Jurisdiction:** Vermont
- **Kind:** Agency guidance
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Vermont DFR Insurance Bulletins / Coverage for Pregnancy and Pregnancy-Related Conditions

## Text

STATE OF VERMONT
DEPARTMENT OF BANKING AND INSURANCE
MONTPELIER 05602
TEL. 802-828-3301

ORIGINAL

DIVISIONS OF:
BANKING
INSURANCE
SECURITIES

BULLETIN NO. 54 (Revised)

April 22, 1981

RE: COVERAGE FOR PREGNANCY AND PREGNANCY-RELATED CONDITIONS:
EMPLOYER-PROVIDED HEALTH BENEFITS

The Vermont Attorney General has interpreted 21 V.S.A. § 495
to require that any employer-provided health benefits plan must
include benefits for pregnancy and pregnancy-related conditions.

This interpretation is in keeping with the directives of
Public Law 95-555 (the so-called "Pregnancy Discrimination Act
of 1978"), which requires an employer of fifteen or more employees
to include coverage for pregnancy in any health benefits plan
made available in connection with employment, on the same basis
as other medical conditions.

The Attorney General has similarly interpreted 21 V.S.A.
§ 495 to require the same treatment of employer-provided benefits
as that directed by Public Law 95-555. Vermont law, as it is
interpreted, therefore requires that if health benefits are made
available by an employer, those benefits must include provision
for pregnancy and pregnancy-related conditions. This applies
regardless of who funds the benefits (or who pays the premiums),
and irrespective of the number of employees.

Accordingly, please be advised that this office expects all
insurers doing business in this state to advise its employer/
insureds, when appropriate, as to the requirements of both
federal and state law in this area, if they have not already
done so.
nancy-related conditions. This applies
regardless of who funds the benefits (or who pays the premiums),
and irrespective of the number of employees.

Accordingly, please be advised that this office expects all
insurers doing business in this state to advise its employer/
insureds, when appropriate, as to the requirements of both
federal and state law in this area, if they have not already
done so.

Clearly it is the employer who must comply with these
requirements and not the insurer. However, in the context of
a sale of an insurance policy covering employee benefits, if
an insurer should erroneously advise its employer/insured as
to the above-described required benefit, and the employer/
insured relies on that incorrect advice and purchases an insurance plan on that basis, it may be grounds for this office to
treat this as a sale of an "unsuitable policy" within the meaning
of 8 V.S.A. § 4724(16) or as "unfair discrimination" within the
meaning of 8 V.S.A. § 4724(7)(A).

George A. Chaffee
Commissioner

## Nearby sections

- [VT Insurance Bulletin #22 Proper Identification by Insurance Producers](https://www.frixlaw.com/law-library/statutes/VT_INS_B_22_19741220.md)
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- [VT Insurance Bulletin #51 Consent to Rate](https://www.frixlaw.com/law-library/statutes/VT_INS_B_51_19800616.md)
- [VT Insurance Bulletin #54 Coverage for Pregnancy and Pregnancy-Related Conditions](https://www.frixlaw.com/law-library/statutes/VT_INS_B_54_19810422.md)
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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/VT_INS_B_54_19810422. Check the current official text before relying on it. Not legal advice.
