VT S0132

Health care sharing plans or arrangements serving Vermont residents must submit annual reports to the Commissioner of Financial Regulation, beginning October 1, 2025, and by March 1 each year thereafter

Required reporting includes participant numbers (individuals, households, employer groups), total fees collected, percentage retained for administrative expenses, reimbursement requests submitted and approved, denial rates, and payments made to providers

Organizations must also disclose provider contracts, marketing materials, third-party relationships, commissions paid to insurance producers and other parties, and organizational structure including officers and directors

The Commissioner has 45 days to review submissions for completeness; incomplete submissions may result in administrative penalties up to $5,000 per day and cease and desist orders for continued noncompliance

The Commissioner must publish a summary report on the Department's website by April 1, 2026, and each October 1 thereafter, including consumer complaint information