Bill > S0132

This bill requires health care sharing plans or arrangements not authorized as traditional insurance in Vermont to submit comprehensive annual reports to the Commissioner of Financial Regulation starting October 1, 2025. These reports must include detailed information such as the number of participants in Vermont and nationally, participant fees, total healthcare reimbursement requests, amounts paid to providers, percentage of denied claims, list of associated third parties, marketing materials, and an organizational overview. The reporting entity must certify the accuracy of the submitted information, and failure to comply can result in administrative penalties up to $5,000 per day and potential cease and desist orders. The Commissioner is required to prepare a summary report of the submitted information by April 1, 2026, and each October 1 thereafter, which will be posted on the Department's website along with additional consumer information. Health care sharing plans are typically alternative arrangements where members contribute money to help cover each other's medical expenses, often operating outside traditional health insurance regulations, and this bill aims to increase transparency and consumer protection for such arrangements in Vermont.

Budget and Finance

https://legislature.vermont.gov/bill/status/2026/S.132