Oklahoma to Launch State-based Health Insurance Exchange

The Oklahoma Insurance Department announced plans to transition to a State-based Exchange on the Federal Platform (SBE-FP) in May 2026, with a full State-based Exchange (SBE) planned for plan year 2028. This initiative, authorized by HB 1512, aims to improve health insurance options, enhance consumer experience, and retain state revenue. A Section 1332 State Innovation Waiver will also be pursued for a state reinsurance program.

Oklahoma Bulletin on Unfair Trade Practices and Frauds in Health Insurance

The Oklahoma Insurance Department issued a bulletin clarifying its stance on unfair trade practices and frauds related to health insurance, particularly Medicare Advantage and Supplement plans. The bulletin addresses carrier practices that restrict consumer access to products and outlines expectations for fair market conduct and producer compensation.

Oklahoma SB 1067 Ambulance Reimbursement Bulletin

The Oklahoma Insurance Department issued a bulletin regarding Senate Bill 1067, which modifies ambulance service reimbursement rules. Health insurers must adhere to specific rates for out-of-network providers, with a submission deadline for local government rates.

Oklahoma Health Insurance Bulletin on Senate Bill 515

The Oklahoma Insurance Department issued a bulletin to health insurers regarding Senate Bill 515, which creates new definitions and mandates for health benefit plans and health care services. The bill allows enrollees to pay out-of-pocket for negotiated services and outlines documentation requirements for reimbursement.

Montana Health Care Enrollment Down After ACA Subsidies Expire

Montana's health care marketplace enrollment has decreased by approximately 5% following the expiration of pandemic-era ACA subsidies at the end of last year. This decline, consistent with national trends, impacts nearly 78,000 individuals who previously benefited from federal financial assistance for health insurance premiums.

Blue Cross Blue Shield of Montana v. Commissioner of Securities and Insurance - Data Breach Investigation

Blue Cross Blue Shield of Montana is challenging a state investigation into a data breach affecting over 460,000 Montanans. The insurer argues the administrative process is unfair, while the state seeks dismissal, asserting that administrative remedies must be exhausted before court intervention. The investigation aims to determine breach causes, reporting delays, and potential penalties.

Insurance chief exposes Obamacare fraud bust on Glenn Beck

Insurance chief exposes Obamacare fraud bust on Glenn Beck

Montana BCBS Data Breach Dispute with Insurance Commissioner

The Montana Commissioner of Securities and Insurance is in a dispute with Montana Blue Cross-Blue Shield (BCBS) over the handling of a large data breach. BCBS is fighting a hearing, claiming the commissioner is unfairly targeting it and that its notification timeline was reasonable, despite a significant gap between discovery and customer notification.

Montana Exposes $54.7M Obamacare Fraud, Recovers $23.3M

Montana's Auditor and Commissioner of Insurance announced the exposure of a $54.7 million healthcare fraud scheme targeting Obamacare beneficiaries. The state has recovered $23.3 million and cancelled 80 fraudulent policies.

Department of Labor & Workforce Development | Department of Labor Works with Top New Jersey Employers to Ensure Compliance with Pay Transparency Law

Department of Labor & Workforce Development | Department of Labor Works with Top New Jersey Employers to Ensure Compliance with Pay Transparency Law