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VA HB1450
Bill
Status
2/16/2026
Primary Sponsor
Keith Hodges
Click for details
AI Summary
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Expands claims experience disclosure requirements from group accident/sickness insurance policies to all employee welfare benefit plans as defined under federal ERISA law (29 U.S.C. § 1002(1))
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Requires third-party administrators and pharmacy benefits managers to provide claims data, in addition to insurers, including pharmacy benefits claims experience and pharmacy costs
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Employers with at least 100 covered individuals can request complete medical and pharmacy claims records at no cost, with data provided within 20 business days when requested at least 45 days before premium renewal dates
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Mandates disclosure of a 24-month claims summary, listing of enrollees with claims exceeding $100,000, and total enrollment figures by membership type
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Applies to all employee welfare benefit plans delivered, issued, reissued, or extended on or after January 1, 2027
Legislative Description
Health insurance; claims experience information.
Last Action
Passed Senate Block Vote (40-Y 0-N 0-A)
3/11/2026