Regulatory Updates

Effective May 24, 2024, South Carolina will be requesting additional information that must be included within the Pharmacy Benefits Manager (PBM) licensing application for resident and nonresident Third Party Administrators.  -The phone number and any other contact information  provided to pharmacies and pharmacists under SC ST § 38-71-2235(B) through which the pharmacy may: ask questions regarding networks, patient benefits, appeals, and other contractual or service issues and obtain answers during normal business hours within a reasonable time -The notice provided to pharmacies upon the denial of an internal appeal notifying the pharmacy or pharmacist of the right to request an external review of the internal appeal and the supporting documents describing the external review process

Effective July 1, 2024, the Kentucky Department of Insurance’s Personal Service Contract for Continuing Education/Prelicensing Services will be handled by PSI Services. Prometric will no longer accept or process education course and instructor reviews after June 21, 2024. See attachment for full details. 

Effective July 1, 2025, Vermont will be adding licensing and training requirements for resident and nonresident insurance producers related to pet insurance.

On June 18, 2024, the Governor of New Mexico issued an emergency order to address fire emergencies in various parts of New Mexico. See attachment for full details.

WA - On June 18, 2024, Washington sent out a request for industry comments on proposed producer and adjuster licensing changes. The comment period begins on June 20, 2024, and will close on August 2, 2024. Comments can be sent to the rules coordinator email address at the OIC. See attachment.

Effective June 14, 2024, Maryland implemented new transaction type to process Designated Responsible Licensed Producer (DRLP)

Effective July 15, 2024, Kansas will be waiving application fees for resident individual applicants who are the spouses of an active military service member. To determine if the applicant qualifies for a fee waiver the applicant will need to answer a new required non-uniform question (NUQ) in the Resident Licensing and Resident Renewal applications. The fee waiver is valid for the following individual applicants: Insurance Producer, Public Adjuster, Surplus Lines, Viatical Broker, Reinsurance Intermediary. If the applicant answers ‘Y’ to Key Value 5 fees will be waived for the application, reapplication, reinstatement, renewal, late renewal, and fingerprint fees. Insurance Producers will be responsible for the late renewal penalty. Please review the below table for more information. 

Effective June 14, 2024, Nebraska is implementing a new transaction to process individual and business entity primary name updates.

Effective June 14, 2024, Maryland implemented new transaction types to Name Change (Demographics) updates. 

On June 13, 2024, Colorado Division of Insurance (DOI) released the application for Pharmacy Benefit Managers (PBMs) to register with the DOI, pursuant to § 10-16-122.1(2.5), C.R.S., a result of legislation passed in 2023 (HB23-1227). Per Regulation 4-2-97 "Concerning the Requirements for Pharmacy Benefit Managers to Register in Colorado," each PBM operating in Colorado is required to complete the registration application and pay the filing fee by July 1, 2024, and annually, each year thereafter. Questions about this process may be sent to the PBM Compliance Team.