Category(s): - 11/26/2025

As reported in Insurance Journal: “Insurer litigation expenses declined slightly between 2023 and 2024 and potentially benefitted from state legal reforms to address increasing litigation costs, the U.S. Department of the Treasury’s Federal Insurance Office (FIO) said in a new report.” Click <a href="https://www.insurancejournal.com/news/national/2025/10/30/845687.htm" target="_child">here </a> to read more. 

Category(s): - 11/26/2025

In a recent letter, the National Association of Insurance Commissioners (NAIC) urged leaders in the U.S. House of Representatives and the U.S. Senate to take immediate action to extend enhanced premium tax credits under the Affordable Care Act, which will otherwise expire at the end of 2025.

Category(s): - 11/26/2025

The Arizona Department of Insurance and Financial Institutions has issued Regulatory Bulletin 2025-08, which addresses stop loss insurance products. The Bulletin summarizes the Department’s newly issued guidance that no specific line of authority is required for an insurer to write stop loss insurance products. The Bulletin also confirms that stop loss products are not regulated as group health insurance because these products in essence operate as a form of reinsurance for employers with self-insured employee health plans. To that end, the Department has advised that stop loss products should not include provisions that would commonly be found in health insurance policies, such as medical necessity, managed care, case management, or the ability to deny claims that the employer is legally obligated to pay under its health plan.  Nor should stop loss policies include provisions that may create a relationship between the stop loss insurer and health plan beneficiaries since stop loss insurance policies are a contract between the insurer and the employer. Regulatory Bulletin 2025-08 can be found <a href="https://difi.az.gov/sites/default/files/Regulatory%20Bulletin%202025-08_Stop%20Loss%20Products.pdf" target="_child">here. </a>

Category(s): - 11/26/2025

From WINK News: “Florida Insurance Commissioner Mike Yaworsky highlighted the significant increases in auto policyholders' premiums over the last three years, with more than 30% in 2023 and 4% last year. However, this year has seen a 6.5% decrease.” Click <a href="https://www.winknews.com/news/state/florida-drivers-see-relief-as-auto-insurance-premiumsdrop-6-5-in-2025/article_188fcaef-5f76-4c04-a0b6-01c1db4035d5.html" target="_child">here </a> to read more.

Category(s): - 11/26/2025

Insurance Journal reports: “Effective October 1, Florida’s Citizens Property Insurance Corp. is deferring the required proof of flood insurance while the federal government shutdown continues and the National Flood Insurance Program is in limbo. Once NFIP resumes, insurance agents will have 10 business days to submit the proof-of-flood-coverage documents to Citizens. If a policy’s cancellation or nonrenewal effective date is October 1, 2025, or later, agents can submit a request to reinstate via the Flood and Affirmation Document Deferral Form. The form must be submitted prior to the cancellation or nonrenewal effective date.” Click <a href="https://www.insurancejournal.com/news/southeast/2025/10/06/842576.htm" target="_child">
here </a> to read more.

Category(s): - 11/26/2025

On September 5, 2025, Commissioner John F. King issued Bulletin 25-EX-2 to provide updated guidance regarding the federal court litigation in <i>City of Columbus v. Kennedy.</i> On September 4, 2025, the Maryland District Court extended the time for the federal government to respond to its motion for a stay of the preliminary injunction originally issued on August 22, 2025. This extension means the injunction is still in effect, and the provisions of the federal rule at issue in the case, particularly those concerning Actuarial Value (AV) policies, will not be implemented for Plan Year 2026 at this time. As a result, some previously filed health plans for Plan Year 2026 may be out of compliance with the AV policy as it stands following the injunction. All health insurers offering plans on Georgia Access should refer to the re-filing guidelines for qualified health plans in Bulletin 25-EX-2. Click <a href="https://www.forc.org/Public/Alerts/2025/Documents/BULLETIN-25-EX-02--All-Health-Insurers-Offering-Plans-on-Georgia-Access.aspx" target="_child">here </a> to download 25-EX-2. 

Category(s): - 11/26/2025

In <i>Mamoorkhan v. Auto-Owners Ins. Co.,</i> (A25A0780, decided September 10, 2025), the Georgia Court of Appeals vacated a trial court’s summary judgement granted to an auto insurer declaring that its auto insurance policy could be rescinded for fraud because the insured failed to disclose in his insurance application his auto accident that occurred a few hours before he submitted his insurance application. The trial court relied upon <a href="https://law.justia.com/codes/georgia/title-33/chapter-24/article-1/section-33-24-7/" target="_child">O.C.G.A. § 33-24-7(b), </a>which provides that misrepresentations, omissions, concealment of facts and incorrect statements in an insurance application do not prevent recovery under an insurance policy unless they are fraudulent, material to the insurer’s acceptance of the insured risk and the insurer would not have in good faith issued the insurance policy had it known the true facts as required by the insurance application. Ga. Code Ann. § 33-24-7(b) (2024).  However, the appellate court questioned, and remanded to the trial court to decide, whether this statute of general applicability to insurance contracts applied in this instance because of <a href="https://law.justia.com/codes/georgia/title-33/chapter-24/article-1/section-33-24-45/" target="_child">O.C.G.A. § 33-24-45, </a> which governs an insurer’s right to cancel (and non-renew) an auto insurance policy, noting prior case law reflecting that, under O.C.G.A. § 33-24-45, “an insurer cannot, on the ground of fraud or misrepresentations relating to the inception of the policy, retrospectively avoid coverage under a compulsory or financial responsibility insurance law so as to escape liability to a third party.” Ga. Code Ann. § 33-24-45 (2024). Click <a href="https://caselaw.findlaw.com/court/ga-court-of-appeals/117692127.html" target="_child">here </a> to read more. 

Category(s): - 11/26/2025

There are many Rules for consideration on the docket and there is now time for industry and public input. These regulations relate to the Automobile Plan, Statistical Agents, Private Review Agents (UR) and new Senate Bill 5 related to same. Please see the detail related to same at: <a href="https://oci.georgia.gov/press-releases/2025-11-06/hearing-new-rules-and-regulations-scheduled-december-3-2025" target="_child">Georgia Regulations to Be Amended and Public Input Process. </a>

Category(s): - 11/26/2025

From Insurance Newsnet: “More than a year after first circulating a draft guidance on compliance expectations for its best interest standard for annuity sales, regulators are nearing a final version. The National Association of Insurance Commissioners (NAIC) adopted the Suitability in Annuity Transactions Model Regulation #275 update in 2020 to strengthen state regulation over annuity sales. The draft guidance provides details for insurers regarding their obligations when they rely on third parties, such as broker-dealers, investment advisers, or ERISA fiduciaries, to comply with the annuity suitability model.” 

Category(s): - 11/26/2025

The Division of Financial Regulation has begun interpreting recent amendments to ORS 743B.250 to revise and clarify the data submission obligations for insurers related to prior authorization metrics. Read the Notice of Proposed Rulemaking <a href="https://dfr.oregon.gov/laws-rules/Documents/Proposed/20251022-hb3134-prior-authorization-data-reporting.pdf" target="_child">here. </a>