Bill > H0035

This bill modifies Vermont's health insurance market regulations by unmerging the individual and small group health insurance markets. It changes the definition of a "qualified employer" from entities with up to 50 employees to those with up to 100 employees, allowing more small businesses to participate in the Vermont Health Benefit Exchange. The bill updates various provisions related to health insurance, including how carriers calculate employee numbers, enrollment processes, and premium rating methods. Specifically, it requires registered carriers to separately determine premiums for individual and small group market plans, guarantees acceptance of individuals and small employers in their respective markets, and modifies reporting requirements to the U.S. Department of the Treasury. The bill also adjusts how insurance agents and brokers can assist with enrollment and premium tax credit applications. These changes aim to provide more flexibility and options for individuals and small employers in accessing health insurance, with the modifications set to take effect on January 1, 2026.

Budget and Finance, Health and Social Services

https://legislature.vermont.gov/bill/status/2026/H.35