US State

Disaster Planning Guidance for Life and Health Insurers

The New York State Department of Financial Services issued Circular Letter 4, updating guidance on disaster planning, preparedness, and response for life and health insurers. This guidance repeals and replaces previous circulars and outlines expected standards for business impact analysis and operational continuity.

NY Insurers Must Cover Immunizations at No Cost-Sharing

The New York Department of Financial Services issued guidance reminding insurers of their obligation to cover immunizations at no cost-sharing for children and adults. This guidance clarifies existing state law requirements for accident and health insurance policies.

Illinois Bulletin on Inappropriate Claims Denials Based on Location

The Illinois Department of Insurance issued a bulletin clarifying that claims denials based solely on location, site of care, or setting are inappropriate if not grounded in generally accepted standards of care. Insurers must ensure medical necessity determinations are not primarily for economic benefit or convenience.

Illinois Insurance Supplier Diversity Reporting Instructions Update

The Illinois Department of Insurance has issued updated instructions for annual insurance supplier diversity reports, effective for filings on or after April 1, 2026. These updated instructions replace previous guidance and clarify which entities are required to file and how to submit the reports.

Illinois Insurance Bulletin Clarifies PDAA Applicability and PBM Reports

The Illinois Department of Insurance issued Bulletin 2025-20 to clarify the applicability of the Prescription Drug Affordability Act (PDAA) and its reporting and fee requirements for Pharmacy Benefit Managers (PBMs). The bulletin addresses questions raised by PBMs regarding specific coverage types and plan sponsors, and outlines procedures for revised reports and fee adjustments based on recent legislative clarification.

Illinois Insurance Grace Period for Federal Employees During Shutdown

The Illinois Department of Insurance has issued guidance requesting property and casualty insurers to implement protective measures for federal employees impacted by a government shutdown. Insurers are asked to provide a grace period of at least 30 days for premium payments and extensions for repairs to prevent policy cancellations.

Illinois Public Rate Filing Summary for 2026

The Illinois Department of Insurance has released a summary document detailing public rate filings for the 2026 plan year. This notice provides an overview of submitted rate information for insurers operating within the state.

California Department of Insurance Notices and Bulletins

The California Department of Insurance has updated its website to provide access to notices, bulletins, and commissioner opinions. These documents are organized by year of publication and cover various insurer-related topics, including rate filings.

Insurance Commissioner Opinions on Gender Dysphoria Surgery

The California Department of Insurance has published a General Counsel's Letter Opinion regarding gender dysphoria surgery. This opinion, dated December 30, 2020, addresses coverage and related issues for insurers operating within the state.

Texas Commissioner Bulletins for Insurers

The Texas Department of Insurance has published its bulletins for insurers for the year 2026. These bulletins provide guidance and information to insurance companies operating within the state.