The Vermont Statutes Online

Title 8: Banking and Insurance

Chapter 107: Health Insurance

• Subchapter 001: GENERAL PROVISIONS
•    § 4011. Definitions

•    § 4012. Compliance with federal law

•    § 4013. Discrimination prohibited

•    § 4014. Advertising practices

•    § 4015. Penalties for violations

•    § 4016. Appeal

•    § 4017. Exemption from attachment and trustee process

•    § 4018. Third-party ownership

•    § 4019. Notice as waiver

•    § 4020. Age limits

•    § 4021. Termination of coverage

•    § 4022. Rebates and commissions prohibited for nongroup and small group policies and plans offered through the Vermont Health Benefit Exchange

•    § 4022a. Rebates prohibited for group insurance policies

•    § 4023. Provisions applying to policies delivered in another state

•    § 4024. Coordination of insurance coverage with Medicaid and compliance with Medicaid recovery provisions

•    § 4025. Health insurance and the Blueprint for Health

• Subchapter 002: POLICY FORMS AND FILING REQUIREMENTS
•    § 4026. Filing and approval of policy forms and premiums

•    § 4027. Filing fees

•    § 4028. Form and contents of policy

•    § 4029. Required standard policy provisions

•    § 4030. Optional standard policy provisions

•    § 4031. Omission of inapplicable or inconsistent standard provisions

•    § 4032. Order of standard policy provisions

•    § 4033. Discretionary clauses prohibited

•    § 4034. Requirements of other jurisdictions

•    § 4035. Policies not affected

•    § 4036. Nonconforming policies

•    § 4037. Applications for insurance

•    § 4038. Rulemaking on policy filings

• Subchapter 003: GROUP COVERAGE
•    § 4041. Group health insurance policies; definitions

•    § 4042. Group insurance policies; required policy provisions

•    § 4043. Association health plans

• Subchapter 004: CONTINUATION AND CONVERSION OF GROUP HEALTH INSURANCE POLICIES
•    § 4047a. Continuation of group

•    § 4047b. Continuation; notice; terms

•    § 4047c. Termination of coverage

• Subchapter 005: GROUP HEALTH INSURANCE TERMINATION AND REPLACEMENT
•    § 4048a. Definitions; policies and contracts covered

•    § 4048b. Termination for nonpayment of premium or subscription charges

•    § 4048c. Notice of termination

•    § 4048d. Extension of benefits

•    § 4048e. Replacement coverage

• Subchapter 006: OTHER FORMS OF HEALTH COVERAGE
•    § 4051. Medicare supplement insurance policies [Effective January 1, 2026; see also 8 V.S.A. § 4051 effective until January 1, 2026 set out above]

•    § 4051. Medicare supplement insurance policies [Effective until January 1, 2026; see also 8 V.S.A. § 4051 effective January 1, 2026 set out below]

•    § 4052. Blanket health insurance

•    § 4053. Short-term, limited-duration health insurance

• Subchapter 007: CHILD AND DEPENDENT COVERAGE
•    § 4057. Coverage of children

•    § 4058. Medical support orders

•    § 4059. Coverage for civil unions

•    § 4060. Coverage for employees of an employer domiciled outside Vermont

• Subchapter 008: INTERNAL AND EXTERNAL REVIEWS
•    § 4063. Independent external review of health care service decisions

•    § 4064. Mental health services review

• Subchapter 009: REQUIRED COVERED BENEFITS
•    § 4067. Application of subchapter

•    § 4068. Chiropractic services

•    § 4069. Prosthetic devices

•    § 4070. Hearing aid coverage in large group health insurance plans

•    § 4071. Gender-affirming health care services

•    § 4072. Mental health and substance use disorder services

•    § 4073. Diabetes treatment

•    § 4074. Treatment of inherited metabolic disorders

•    § 4075. Craniofacial disorders

•    § 4076. Home health services

•    § 4077. Reproductive health care services

•    § 4078. Midwifery coverage [Effective January 1, 2027; see also 8 V.S.A. § 4078 effective until January 1, 2027 set out above]

•    § 4078. Midwifery coverage; home births [Effective until January 1, 2027; see also 8 V.S.A. § 4078 effective January 1, 2027 set out below]

•    § 4079. Abortion and abortion-related services

•    § 4080. Anesthesia for certain dental procedures

•    § 4081. Tobacco cessation

•    § 4082. Early childhood development disorders

•    § 4083. Services for victims of sexual assault

•    § 4084. Physical therapy co-payments for certain plans

• Subchapter 010: PRESCRIPTION DRUG COVERAGE
•    § 4091. Definitions

•    § 4092. Prescription drug coverage

•    § 4093. Retail pharmacies; filling of prescriptions

• Subchapter 011: PREVENTION AND TREATMENT OF CANCER
•    § 4095a. Colorectal cancer screening

•    § 4095b. Mammography and other breast imaging services

•    § 4095c. Prostate cancer screenings

•    § 4095d. Chemotherapy treatment and oral anticancer medications

•    § 4095e. Clinical trials for cancer patients

•    § 4095f. Off-label use of prescription drugs for cancer

• Subchapter 012: SERVICE DELIVERY AND TREATMENT MODALITIES
•    § 4098a. Coverage of health care services delivered through telemedicine and by store-and-forward means

•    § 4098b. Coverage of health care services delivered by audio-only telephone

•    § 4098c. Covered services provided by naturopathic physicians

•    § 4098d. Covered services provided by athletic trainers

•    § 4098e. Choice of providers for vision care and medical eye care services

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