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VA SB1199

VA SB1199
Medicare supplement policies; annual open enrollment period, individual Medicare policies, etc.


summary

Introduced
01/08/2025
In Committee
02/13/2025
Crossed Over
02/04/2025
Passed
02/20/2025
Dead
Signed/Enacted/Adopted
03/24/2025

Introduced Session

2025 Regular Session

Bill Summary

Medicare supplement policies; annual open enrollment period. Requires an insurer, health services plan, or health maintenance organization issuing individual Medicare supplement policies or certificates in the Commonwealth to offer to an individual currently insured under any such policy an annual open enrollment period commencing on the day of the individual's birthday and remaining open for at least 60 days thereafter, during which time the individual may purchase any Medicare supplement policy made available by any insurer in the Commonwealth that offers the same benefits as those provided by the current coverage. The bill also requires such insurer, health services plan, or health maintenance organization to notify, at least 15 days but not more than 30 days prior to the commencement of such annual open enrollment period, each individual to whom such open enrollment period applies of the dates of that open enrollment period, the rights of the individual during that open enrollment period, and any modification of benefits provided by or adjustment of premiums charged for such Medicare supplement policy. This bill is identical to HB 2100.

AI Summary

This bill requires insurance companies, health services plans, and health maintenance organizations that offer individual Medicare supplement policies in Virginia to provide an annual open enrollment period for current policyholders. The open enrollment period will begin on the individual's birthday and last for at least 60 days, during which the policyholder can purchase a new Medicare supplement policy from any insurer in the state that offers the same benefits as their current coverage. During this period, insurers cannot deny, condition, or discriminate in pricing based on the individual's health status, claims history, or medical condition. The insurer must notify the policyholder at least 15 but no more than 30 days before the open enrollment period, detailing the dates, the individual's rights, and any changes to benefits or premiums. The bill defines "Medicare supplement policy" broadly to include policies offered by public entities, and specifically excludes innovative benefits from the comparison of policy coverage. This legislation aims to provide more flexibility and protection for Medicare supplement policyholders by ensuring they have an annual opportunity to change their coverage without facing health-based restrictions.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Acts of Assembly Chapter text (CHAP0540) (on 03/24/2025)

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