Statutes and regulations

Application of Act 55 of 2025

VT Insurance Bulletin #237 · Vermont · Agency guidance

Vermont DFR Insurance Bulletins › Application of Act 55 of 2025

ASP is calculated using sales data, including discounts, submitted by drug manufacturers using a methodology set forth in 42 U.S.C. § 1395w-3a(c). … is the Department’s position that the phrase “average sales price (ASP), as calculated by the Centers for Medicare and Medicaid Services” in Act 55 refers solely to the computation specified in 42 U.S.C

Coverage for Vaccines

VT Insurance Bulletin #238 · Vermont · Agency guidance

Vermont DFR Insurance Bulletins › Coverage for Vaccines

On September 17, 2025, VDH used the authorities of 18 V.S.A. § 2, 18 V.S.A. § 126, and 26 V.S.A. … On September 17, 2025, VDH used the authorities of 18 V.S.A. § 2, 18 V.S.A. § 126, and 26 V.S.A.

Out-of-Pocket Maximum for Prescription Drugs

VT Insurance Bulletin #171 · Vermont · Agency guidance

Vermont DFR Insurance Bulletins › Out-of-Pocket Maximum for Prescription Drugs

. § 2022 and includes: • biological products, as defined in 18 V.S.A nt of Health Savings Accounts (HSAs), are tax questions and insurers should be guided by the relevant provisions of the Internal Revenue … Under 8 V.S.A. § 4091, the term “drug” has the same meaning as “prescription drug” in 26 V.S.A. § 2022 and includes: • biological products, as defined in 18 V.S.A. § 4601; • medications used to treat

Act 111 Implementation FAQ

VT Insurance Bulletin #234 · Vermont · Agency guidance

Vermont DFR Insurance Bulletins › Act 111 Implementation FAQ

Act 111 also applies to non-ERISA health plans in accordance with federal law (29 U.S.C. § 1002). … Under the Health Insurance Portability and Accountability Act (HIPAA), 42 U.S.C. § 1320d–2(c), and its supporting regulations (45 C.F.R. § 162, Subpart J), CMS and the American Medical Association (AMA

Compliance with Vermont's Mandatory Group Health Insurance Continuation Statute

VT Insurance Bulletin #78 · Vermont · Agency guidance

Vermont DFR Insurance Bulletins › Compliance with Vermont's Mandatory Group Health Insurance Continuation Statute

The first report shall be transmitted 18 months after the date the report is made under subsection (d), and the second report shall be transmitted 18 months later. … —Section 502(c) of such Act (29 U.S.C. 1132(c)) is amended by inserting after "Any administrator" the following: "(1) who fails to meet the requirements of paragraph (1) or (4) of section 606 with respect

Guidelines for Insurance Sales by Banks

VT Insurance Bulletin #117 · Vermont · Agency guidance

Vermont DFR Insurance Bulletins › Guidelines for Insurance Sales by Banks

The ability of banks to sell annuities originates in other federal authority, and so continues to be subject to Banking Bulletin No 18. … The ability of banks to sell annuities originates in other federal authority, and so continues to be subject to Banking Bulletin No 18.