The Vermont Statutes Online

Title 8: Banking and Insurance

Chapter 107: Health Insurance

• Subchapter 001: GENERALLY
•    § 4061. Definition

•    § 4062. Filing and approval of policy forms and premiums

•    § 4062a. Filing fees

•    § 4062b. Medicare supplemental health insurance

•    § 4062c. Compliance with federal law

•    § 4062d. Repealed. 2011, No. 171 (Adj. Sess.), § 41.

•    § 4062e. Compliance with Medicaid recovery provisions

•    § 4062f. Discretionary clauses prohibited

•    § 4063. Form and contents of policy

•    § 4063a. Coverage for civil unions

•    § 4063b. Coverage for employees of an employer domiciled outside Vermont

•    § 4064. Provisions applying to policies delivered in another state

•    § 4065. Required standard policy provisions

•    § 4066. Optional standard policy provisions

•    § 4067. Omission of inapplicable or inconsistent standard provisions

•    § 4068. Order of standard policy provisions

•    § 4069. Third party ownership

•    § 4070. Requirements of other jurisdictions

•    § 4071. Regulations on filing policies

•    § 4072. Nonconforming policies

•    § 4073. Applications for insurance

•    § 4074. Notice as waiver

•    § 4075. Age limits

•    § 4076. Policies not affected

•    § 4077. Termination; comprehensive major medical policies; grace period

•    § 4078. Repealed. 2011, No. 171 (Adj. Sess.), § 41.

•    § 4079. Group insurance policies; definitions

•    § 4079a. Association health plans

•    § 4080. Required policy provisions

•    §§ 4080a-4080c. Repealed. 2011, No. 171 (Adj. Sess.), § 41, effective January 1, 2014.

•    § 4080d. Coordination of insurance coverage with Medicaid

•    § 4080e. Medicare supplemental health insurance policies; community rating; disability

•    § 4080f. Repealed. 2013, No. 79, § 52, eff. January 1, 2014.

•    § 4080g. Grandfathered plans

•    § 4081. Blanket health insurance

•    § 4082. Blanket insurance; policy contents

•    § 4083. Discrimination prohibited

•    § 4084. Advertising practices

•    § 4084a. Short-term, limited-duration health insurance

•    § 4085. Rebates and commissions prohibited for nongroup and small group policies and plans offered through the Vermont Health Benefit Exchange

•    § 4085a. Rebates prohibited for group insurance policies

•    § 4086. Exemption from attachment and trustee process

•    § 4087. Penalties for violations

•    § 4088. Appeal

•    § 4088a. Chiropractic services

•    § 4088b. Clinical trials for cancer patients

•    § 4088c. Chemotherapy treatment

•    § 4088d. Coverage for covered services provided by naturopathic physicians

•    § 4088e. Notice of preferred drug list changes

•    § 4088f. Prosthetic parity

•    § 4088g. Coverage for covered services provided by athletic trainers

•    § 4088h. Health insurance and the Blueprint for Health

•    § 4088i. Coverage for diagnosis and treatment of early childhood developmental disorders

•    § 4088j. Choice of providers for vision care and medical eye care services

•    § 4088k. Physical therapy co-payments for certain plans

•    § 4088l. Coverage for hearing aids

•    § 4088m. Coverage for gender-affirming health care services

•    § 4089. Services for victims of sexual assault

•    § 4089a. Mental health care services review

•    § 4089b. Health insurance coverage, mental health, and substance use disorder

•    § 4089c. Diabetes treatment

•    § 4089d. Coverage; dependent children

•    § 4089e. Treatment of inherited metabolic diseases

•    § 4089f. Independent external review of health care service decisions

•    § 4089g. Craniofacial disorders

•    § 4089h. Cancellation or nonrenewal of health insurance coverage

•    § 4089i. Prescription drug coverage

•    § 4089j. Retail pharmacies; filling of prescriptions

•    §§ 4089k, 4098l. Repealed. 2013, No. 73, § 51.

•    § 4089l. Repealed. 2013, No. 73, § 54, eff. July 1, 2013.

• Subchapter 001A: HEALTH CARE OMBUDSMAN
•    § 4089v. Repealed. 2015, No. 97 (Adj. Sess.), § 87(2).

•    § 4089w. Repealed. 2013, No. 79, § 52, eff. January 1, 2014.

•    § 4090. Redesignated.

• Subchapter 002: CONTINUATION AND CONVERSION OF GROUP HEALTH INSURANCE POLICIES
•    § 4090a. Continuation of group

•    § 4090b. Continuation; notice; terms

•    § 4090c. Termination of coverage

•    § 4090d. Right of conversion

•    § 4090e. Conversion; notice; terms

•    § 4090f. Exemptions; termination

•    § 4090g. Options required

• Subchapter 003: GROUP HEALTH INSURANCE TERMINATION AND REPLACEMENT
•    § 4091a. Definitions

•    § 4091b. Policies and contracts covered

•    § 4091c. Termination for nonpayment of premium or subscription charges

•    § 4091d. Notice of termination

•    § 4091e. Extension of benefits

•    § 4091f. Replacement coverage

• Subchapter 004: NEWBORN INFANTS
•    § 4092. Newborn infants; coverage

• Subchapter 005: HOME HEALTH SERVICES
•    § 4095. Definitions

•    § 4096. Home health care; insurance

• Subchapter 006: ALCOHOLISM
•    §§ 4097-4099b. Repealed. 1997, No. 25, § 5, effective May 28, 1997.

• Subchapter 006A: REPRODUCTIVE HEALTH
•    § 4099c. Reproductive health equity in health insurance coverage

•    § 4099d. Midwifery coverage; home births

•    § 4099e. Coverage for abortion and abortion-related services

•    § 4099b.1. Repealed. 2015, No. 97 (Adj. Sess.), § 87(4).

• Subchapter 007: MAMMOGRAMS
•    § 4100a. Mammograms and other breast imaging services; coverage required [Effective January 1, 2026; see also 8 V.S.A. § 4100a effective until January 1, 2026, set out above]

•    § 4100a. Mammograms; coverage required [Effective until January 1, 2026; see also 8 V.S.A. § 4100a effective January 1, 2026, set out below]

• Subchapter 008: CHILDREN
•    § 4100b. Coverage of children

•    § 4100c. Adopted child coverage

•    § 4100d. Child vaccine benefits

• Subchapter 009: OFF-LABEL USE OF PRESCRIPTION DRUGS FOR CANCER
•    § 4100e. Required coverage for off-label use

• Subchapter 010: PROSTATE AND COLORECTAL CANCER SCREENING; COVERAGE REQUIRED
•    § 4100f. Prostate screenings; coverage required

•    § 4100g. Colorectal cancer screening, coverage required [Effective January 1, 2025; see also 8 V.S.A. § 4100g effective until January 1, 2025, set out above]

•    § 4100g. Colorectal cancer screening, coverage required [Effective until January 1, 2025; see also 8 V.S.A. § 4100g effective January 1, 2025, set out below]

• Subchapter 011: ORALLY ADMINISTERED ANTICANCER MEDICATION
•    § 4100h. Orally administered anticancer medication; coverage required

• Subchapter 012: COVERAGE FOR DENTAL PROCEDURES
•    § 4100i. Anesthesia coverage for certain dental procedures

• Subchapter 013: TOBACCO CESSATION
•    § 4100j. Coverage for tobacco cessation programs

• Subchapter 014: TELEHEALTH
•    § 4100k. Coverage of health care services delivered through telemedicine and by store-and-forward means

•    § 4100l. Coverage of health care services delivered by audio-only telephone

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