1 | 1 | | BILL AS INTRODUCED H.275 |
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2 | 2 | | 2025 Page 1 of 3 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | VT LEG #380832 v.1 |
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6 | 6 | | H.275 1 |
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7 | 7 | | Introduced by Representatives Coffin of Cavendish, Birong of Vergennes, 2 |
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8 | 8 | | Boyden of Cambridge, Greer of Bennington, Hooper of 3 |
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9 | 9 | | Burlington, Pinsonault of Dorset, Pritchard of Pawlet, and Toof 4 |
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10 | 10 | | of St. Albans Town 5 |
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11 | 11 | | Referred to Committee on 6 |
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12 | 12 | | Date: 7 |
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13 | 13 | | Subject: Health; health insurance; Medicare supplement insurance; open 8 |
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14 | 14 | | enrollment; guaranteed issue 9 |
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15 | 15 | | Statement of purpose of bill as introduced: This bill proposes to create annual 10 |
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16 | 16 | | open enrollment periods for Medicare supplement insurance policies and to 11 |
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17 | 17 | | prohibit health insurers from charging additional premiums, fees, or penalties 12 |
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18 | 18 | | based on an individual’s failure to enroll in a Medicare supplement insurance 13 |
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19 | 19 | | policy within six months following the individual’s 65th birthday. The bill 14 |
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20 | 20 | | would also prohibit preexisting condition exclusions in Medicare supplement 15 |
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21 | 21 | | insurance policies and would permit enrollees to change at any time from one 16 |
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22 | 22 | | Medicare supplement insurance policy to another policy with comparable or 17 |
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23 | 23 | | lesser benefits. 18 |
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24 | 24 | | An act relating to enrollment in Medicare supplement insurance policies 19 BILL AS INTRODUCED H.275 |
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25 | 25 | | 2025 Page 2 of 3 |
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26 | 26 | | |
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27 | 27 | | |
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28 | 28 | | VT LEG #380832 v.1 |
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29 | 29 | | It is hereby enacted by the General Assembly of the State of Vermont: 1 |
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30 | 30 | | Sec. 1. 8 V.S.A. § 4080e is amended to read: 2 |
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31 | 31 | | § 4080e. MEDICARE SUPPLEMENTAL HEALTH INSURANCE 3 |
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32 | 32 | | POLICIES; COMMUNITY RATING; DISABILITY 4 |
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33 | 33 | | * * * 5 |
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34 | 34 | | (e)(1) A health insurance company, hospital or medical service corporation, 6 |
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35 | 35 | | or health maintenance organization offering a Medicare supplement insurance 7 |
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36 | 36 | | policy shall guarantee acceptance of an individual’s application for coverage 8 |
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37 | 37 | | during the six-month period following the individual’s 65th birthday and 9 |
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38 | 38 | | during an annual open enrollment period that shall coincide with the federal 10 |
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39 | 39 | | open enrollment period for Medicare Part D plans. A health insurance 11 |
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40 | 40 | | company, hospital or medical service corporation, or health maintenance 12 |
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41 | 41 | | organization offering a Medicare supplement insurance policy shall not make 13 |
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42 | 42 | | any premium rate distinctions or charge any additional fees or penalty amounts 14 |
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43 | 43 | | based on an applicant’s failure to enroll in a Medicare supplement insurance 15 |
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44 | 44 | | policy during the applicant’s initial open enrollment period upon attaining 65 16 |
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45 | 45 | | years of age. 17 |
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46 | 46 | | (2) A health insurance company, hospital or medical service 18 |
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47 | 47 | | corporation, or health maintenance organization offering a Medicare 19 |
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48 | 48 | | supplement insurance policy shall not exclude, restrict, or otherwise limit 20 |
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49 | 49 | | coverage under the policy for any preexisting health condition. 21 BILL AS INTRODUCED H.275 |
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50 | 50 | | 2025 Page 3 of 3 |
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51 | 51 | | |
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52 | 52 | | |
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53 | 53 | | VT LEG #380832 v.1 |
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54 | 54 | | (3) A health insurance company, hospital or medical service 1 |
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55 | 55 | | corporation, or health maintenance organization offering a Medicare 2 |
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56 | 56 | | supplement insurance policy shall allow an enrollee to change at any time from 3 |
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57 | 57 | | one Medicare supplement insurance policy to another policy offering 4 |
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58 | 58 | | comparable or lesser benefits. 5 |
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59 | 59 | | Sec. 2. EFFECTIVE DATE 6 |
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60 | 60 | | This act shall take effect on July 1, 2025. 7 |
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