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Searching 2025-2026 Session
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The Vermont Statutes Online

The Statutes below include the actions of the 2025 session of the General Assembly.

NOTE: The Vermont Statutes Online is an unofficial copy of the Vermont Statutes Annotated that is provided as a convenience.

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


Full Text of Chapter

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