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 009 : REQUIRED COVERED BENEFITS
(Cite as: 8 V.S.A. § 4067)-
§ 4067. Application of subchapter
(a) Unless otherwise specified and to the extent not inconsistent with federal law, the benefits required in this subchapter:
(1) apply only to major medical insurance plans;
(2) may be subject to deductibles, co-payment and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with any applicable rules and guidance adopted by the Department of Financial Regulation; and
(3) do not apply to Vermont Medicaid.
(b) A health insurer may require benefits mandated in this subchapter to be provided by a licensed health care provider under contract with the health insurer; provided, however, that this provision shall not be construed to relieve a health insurance plan from complying with the applicable network adequacy requirements adopted by the Commissioner by rule. (Added 2025, No. 11, § 2, eff. September 1, 2025.)
