As the novel coronavirus (COVID-19) pandemic continues to threaten families, businesses, communities, cities and countries, the disease’s spread has affected the global insurance industry in unique ways. All stakeholders in the insurance industry – carriers, producers, and consumers – are affected by this global public health crisis and its economic consequences. In response, the National Association of Insurance Commissioners (NAIC) and U.S. state insurance regulators have taken and are continuing to take action to address the unique insurance-related challenges that face all stakeholders.
Sidley’s Global Insurance and Financial Services Group has assembled this compendium of materials that the NAIC and U.S. state insurance departments have issued in response to COVID-19. These materials are organized by topic (specifically, health insurance operations and coverage, travel insurance coverage, business interruption insurance coverage, operational issues for regulators, insurers and other regulated entities, and other insurance topics) and further divided by jurisdiction. This compendium has been last updated on March 22, 2020, and Sidley will continue to update this compendium on a periodic basis.
State legislatures have also begun to address the unique challenges raised by the COVID-19 crisis. Links to pending state legislation related to the intersection of COVID-19 and the insurance industry can be found under the applicable topic below.
Regulatory Materials Related to Health Insurance Operations and Coverage
As a public health crisis, the health insurance industry is particularly affected by the COVID-19 pandemic. As of March 22, 2020, the NAIC and 44 U.S. state insurance departments have issued guidance to health insurance carriers in the areas of telehealth, consumer outreach, special enrollment periods, prescription refills and cost-shares (co-pays, deductibles and co-insurance). Specifically, in this guidance, many of these states are:
- requiring insurers to waive cost-sharing for COVID-19 testing when ordered in accordance with Centers for Disease Control and Prevention (CDC) guidelines and prohibiting insurers from requiring prior authorization for such testing;
- requiring insurers to permit early refills, except for drugs in certain drug classes such as opioids, when consistent with doctor/pharmacist approvals;
- directing insurers to keep their policyholders informed with accurate information about coverage for COVID-19-related testing and treatment;
- directing insurers to expand the availability of telemedicine for their policyholders and eliminating barriers to its use; and
- directing insurers to continue to ensure network adequacy given the anticipated increase in demand due to COVID-19.
Additionally, on March 19, 2020, President Trump signed into law the Families First Coronavirus Response Act, which, among other directives, requires health insurance carriers to provide coverage (at no cost sharing or pre-authorization/medical management requirements) for the testing and administration of FDA-approved COVID-19 tests.
Below is a list of administrative materials, organized by jurisdiction, issued by state insurance departments to provide guidance to both the insurance industry and consumers relating to health insurance coverage and COVID-19.
Alabama
Alaska
- Alaska Division of Insurance Orders Waiver of External Healthcare Review Deadlines
- Alaska Division of Insurance Issues Bulletin Regarding Changes to Coverage for Telehealth
- Alaska Division of Insurance Issues Requirements to Health Insurance Carriers Regarding Cost Sharing and Coverage Related to Respiratory Illnesses Including COVID-19
Arizona
California
- California Department of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- California Department of Insurance Directs Health Insurance Companies to Maintain Health Care Access During Coronavirus Emergency Including Prescription Refills
- California Department of Insurance Calls for 60-Day Insurance Premium Grace Period Due to COVID-19 Outbreak
- California Department of Insurance Issues Order Regarding COVID-19 State of Emergency Notification Filing Requirements for Health Insurers
Colorado
- Colorado Division of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Colorado Division of Insurance Issues Emergency Regulation Regarding Coverage and Cost-Sharing Requirements for Commercial Insurance Carriers Related to Claims Arising from the Testing and Treatment Of COVID-19.
Connecticut
Delaware
- Delaware Department of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Delaware Department of Insurance Issues Bulletin Regarding Suspension of Cancellations and Nonrenewals, Telehealth and Telemedicine, Waiver of Pre-Authorization Requirements, Enforcement Under Catastrophic Health Coverage Plans
Florida
- Florida Office of Insurance Regulation Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Florida Office of Insurance Regulation Issues Directives to Health Insurance Carriers Regarding Early Prescription Refills in Connection With COVID-19
Georgia
- Georgia Office of Insurance and Safety Fire Commissioner Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Georgia Office of Insurance and Safety Fire Commissioner Issues Additional Directives (Health and Business Interruption Insurance) in Connection With COVID-19
Illinois
- Illinois Department of Insurance Issues Frequently Asked Questions About Insurance Coverage and COVID-19
- Illinois Department of Insurance Issues Directives (Health and Travel Insurance) in Connection With COVID-19
- Illinois Governor Issues Executive Order to Expand Teleheath Services and Protect Health Care Providers in Response to COVID-19
Iowa
- Iowa Insurance Division Issues Directives (Health and Travel Insurance) in Connection With COVID-19
- Iowa Insurance Division Issues Bulletin Regarding Individual and Small Group Health Coverage Impacted by COVID-19
Kansas
Kentucky
Louisiana
- Louisiana Department of Insurance Issues Guidance to Consumers on Health, Travel and Business Disruption Insurance
- Louisiana Department of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
Maine
- Maine Bureau of Insurance Issues Consumer Guide to Insurance Provisions and Resources in Maine During the COVID-19 Crisis
- Maine Bureau of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
Maryland
- Maryland Insurance Administration Issues Consumer Guidance on Health, Travel, Life Insurance Coverage
- Maryland Insurance Administration Adopts Rules Regarding Health Insurance Carriers and COVID-19
Massachusetts
- Massachusetts Division of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Massachusetts Division of Insurance Opens Special Enrollment Period for Health Insurance Coverage
Michigan
Minnesota
- Minnesota Department of Commerce Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Minnesota House of Representatives Introduces Bill to Require Health Plans to Cover Testing, Treatment, and Quarantine Costs Related to COVID-19 without Cost-Sharing
Mississippi
- Mississippi Insurance Department Issues Directive on Insurance Coverage Regarding the Use of Telemedicine During the COVID-19 Crisis
- Mississippi Insurance Department Issues Consumer Guidance on Health and Travel Insurance Coverage
Missouri
Montana
NAIC
Nebraska
- Nebraska Department of Insurance Issues Consumer Guidance on Health Insurance and COVID-19
- Nebraska Department of Insurance Issues Notice Regarding Catastrophic Plan Coverage and COVID-19
Nevada
- Nevada Division of Insurance Adopts Emergency Regulation to Protect Nevadans From Increased Medical and Prescription Costs Related to COVID-19
- Nevada Division of Insurance Issues Consumer Alert on COVID-19 and Health Insurance
New Hampshire
- New Hampshire Insurance Department Issues Directives to Health Insurance Carriers in Connection With COVID-19
- New Hampshire Insurance Department Issues Consumer Guidance on Health Insurance Coverage and COVID-19
- New Hampshire Insurance Department Issues Order for Insurers to Cover Testing for the Coronavirus
- New Hampshire Insurance Department Issues Information for NH Residents Who Have Recently Lost Their Employer Sponsored Health Insurance
New Jersey
New Mexico
- New Mexico Office of Superintendent of Insurance Issues Request to All Insurance Companies Regarding Consumers Affected by COVID-19 and the Emergency Public Health Plan Measures
- New Mexico State Medicaid Program and New Mexico Office of Superintendent of Insurance Issue New Requirements to Promote Telemedicine During COVID-19 Emergency
- New Mexico Office of Superintendent of Insurance Issues Bulletin on Telemedicine
- New Mexico Office of Superintendent of Insurance Guarantees Free COVID19 Testing and Treatment
- New Mexico Office of Superintendent of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- New Mexico Office of Superintendent of Insurance Issues Excepted Benefits Coverage Order
New York
- New York State Department of Financial Services Issues Directives to Health Insurance Carriers in Connection With COVID-19
- New York State Department of Financial Services Issues Guidance on Coronavirus and Telehealth Services
- New York State Department of Financial Services Announces Insurance Regulatory Relief for New York Hospitals During Novel Coronavirus Outbreak
North Carolina
- North Carolina Department of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- North Carolina Department of Insurance Authorizes Extra Prescriptions During State of Emergency Due to COVID-19
North Dakota
Ohio
- Ohio Department of Insurance Issues Bulletin on Health and Travel Insurance Coverage in Connection With COVID-19
- Ohio Department of Insurance Issues Consumer Guidance on Health and Travel Insurance Coverage in Connection With COVID-19
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
- Texas Department of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Texas Department of Insurance Issues Consumer Guidance on Health and Travel Insurance in Connection With COVID-19
Utah
- Utah Department of Insurance Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Utah Department of Insurance Urges Insurers to Expand Coverage for COVID-19, Including Telehealth Services
Vermont
- Vermont Department of Financial Regulation Issues Bulletin Regarding Cost Sharing for COVID-19 Testing
- Vermont Department of Financial Regulation Issues Bulletin Regarding Prescription Drug Refills in Connection With COVID-19
- Vermont Department of Financial Regulation Issues Bulletin Regarding Suspension of Routine Provider Audits by Insurers
- Vermont Department of Financial Regulation Issues Bulletin Regarding COVID-19 and Telemedicine Services
Washington
- Washington Office of the Insurance Commissioner Issues Directives to Health Insurance Carriers in Connection With COVID-19
- Washington Office of the Insurance Commissioner Issues FAQs on Health Insurance and COVID-19
West Virginia
- West Virginia Offices of the Insurance Commissioner Issues Directives to Health Insurance Carriers in Connection With COVID-19
- West Virginia Offices of the Insurance Commissioner Issues Bulletin on Temporary Licensure of Health Insurance Producers in Connection With COVID-19
- West Virginia Offices of the Insurance Commissioner Issues Directives to Insurers on Drug Prescriptions
- West Virginia Offices of the Insurance Commissioner Issues Bulletin on Coverage for Telehealth Services and COVID-19
Wisconsin
Wyoming
Regulatory Materials Related to Travel Insurance Coverage
The COVID-19 pandemic has caused individuals and business to cancel existing travel plans. In response to this disruption to travel, as of March 22, 2020, the NAIC and 18 U.S. state insurance departments have issued guidance to both the insurance industry and consumers regarding travel insurance coverage and COVID-19. This guidance generally provides that unless a previously-held travel insurance policy contains an exception applicable to COVID-19 (e.g., an epidemic or pandemic exclusion), a policy of travel insurance that covers the risks of sickness, accident, or death incident to travel presumptively must cover such risks relating to COVID-19. However, this guidance also generally notes that a travel insurance policy that has been purchased more recently likely will not cover cancellations due to COVID-19 as the disease is now considered a known event.
Below is a list of administrative materials, organized by jurisdiction, issued by U.S. state insurance departments to provide guidance to both the insurance industry and consumers relating to travel insurance coverage and COVID-19.
Alabama
Alaska
Arizona
Connecticut
Washington DC
Illinois
Iowa
Louisiana
Maryland
Minnesota
Mississippi
NAIC
- NAIC Issues Guidance on Travel Insurance and COVID-19
- NAIC Issues Guidance Regarding Health, Travel and Business Interruption Insurance in Connection With COVID-19
Nebraska
Nevada
New York
Ohio
- Ohio Department of Insurance Issues Bulletin on Health and Travel Insurance Coverage in Connection With COVID-19
- Ohio Department of Insurance Issues Consumer Guidance on Health and Travel Insurance Coverage in Connection With COVID-19
Oregon
Texas
- Texas Department of Insurance Issues Consumer Guidance on Health and Travel Insurance in Connection With COVID-19
- Texas Department of Insurance Issues Consumer Guidance on Travel Insurance and COVID-19
Washington
Regulatory Materials Related to Business Interruption Insurance Coverage
The global COVID-19 pandemic has caused massive disruptions to both large and small businesses, and many will likely be adversely affected for the foreseeable future. In response to the economic consequences triggered by COVID-19, as of March 22, 2020, the NAIC and 11 U.S. state insurance departments have issued guidance to the insurance industry and consumers regarding how COVID-19 implicates business interruption insurance coverage. This guidance addresses, among other topics: how the economic consequences of COVID-19 affect a typical business interruption insurance policy; how an official declaration of a state of emergency affects business interruption insurance policies; and how employers’ remote work directives affect business interruption insurance coverage
Below is a list of administrative materials, organized by jurisdiction, issued by U.S. state insurance departments to provide guidance to both the insurance industry and consumers relating to business interruption insurance coverage and COVID-19.
Connecticut
Georgia
- Georgia Office of Insurance and Safety Fire Commissioner Issues Additional Directives (Health and Business Interruption Insurance) in Connection With COVID-19
- Georgia Office of Insurance and Safety Fire Commissioner Issues Guidance on Business Interruption Insurance and COVID-19
Kansas
Louisiana
Maryland
Minnesota
NAIC
New Hampshire
New Jersey
New York
Oregon
South Carolina
Regulatory Materials Related to Operational Issues for Regulators, Insurers and Other Regulated Entities
The societal-wide disruptions caused by the COVID-19 pandemic implicates the operations of both the insurance industry and regulators. In connection with these disruptions, as of March 22, 2020, 18 U.S. state insurance departments have issued materials related to, among other topics: regulatory flexibility on filing deadlines, continuing education requirements for producers and grace periods for premium payments; insurers’ plans to deal with financial risk caused by the pandemic; and the fair treatment of insurance consumers during this public health crisis.
Below is a list of administrative materials, organized by jurisdiction, issued by U.S. state insurance departments to provide guidance to both the insurance industry and consumers relating to operational challenges raised by COVID-19.
Alaska
- Alaska Division of Insurance Issues Guidance to Insurers Regarding Fair Treatment of Consumers During State of Emergency Due To COVID-19
- Alaska Division of Insurance Website Features Guidance Regarding Insurance Licensure, Health Insurance Enrollment for Laid Off Workers and Other Issues Related to COVID-19
- Alaska Division of Insurance Issues Bulletin Regarding Extended Review Period for Rate, Form, and Advertisement Filings
- Alaska Division of Insurance Issues Bulletin Regarding Premium Relief Due to COVID-19
Arkansas
California
- California Department of Insurance Calls for 60-Day Insurance Premium Grace Period Due to COVID-19 Outbreak
- California Department of Insurance Issues Notice Regarding Insurance Company Obligations to Comply with Insurance Laws during the COVID-19 Outbreak
- California Department of Insurance Issues Guidance on “Essential Businesses” and Insurance
Delaware
Florida
Georgia
Hawaii
Kansas
Kentucky
Maryland
- Maryland Insurance Administration Issues Guidance Regarding Producer Licensing and COVID-19
- Maryland Insurance Administration Issues Bulletin Regarding Cancellation of Life & Health and Property & Casualty Insurance Policies and Contracts Due to Non-Payment of Premium During the COVID-19 State Of Emergency
Michigan
Missouri
New Jersey
New York
Pennsylvania
- Pennsylvania Insurance Department Issues Notices to Regulated Entities to Urge Flexibility and Offer COVID-19 Outbreak Guidance
- Pennsylvania Insurance Department Issues Notice to Licensees Regarding Education Courses and License Renewals
- Pennsylvania Insurance Department Issues Notice to Insurance Companies Regarding Filings
Rhode Island
West Virginia
- West Virginia Offices of the Insurance Commissioner Issues Order Requiring Insurers to Continue Adjusting Claims and Suspending Normal Time Frames for Claims Handling and Settlement
- West Virginia Offices of the Insurance Commissioner Issues Order Requiring Insurer Response with respect to Continuity of Operations, Preparedness, Risk Management Plans and Coronavirus
- West Virginia Offices of the Insurance Commissioner Issues Order Regarding Policyholder Flexibility in Connection With COVID-19
Wisconsin
- Wisconsin Office of the Insurance Commissioner Issues Bulletin Regarding Flexibility for Meeting Filing Deadlines in Connection With COVID-19
- Wisconsin Office of the Insurance Commissioner Issues Bulletin Regarding Policyholder and Regulatory Flexibility in Connection With COVID-19
Regulatory Materials Related to Other Insurance Topics
The COVID-19 pandemic will likely affect all areas of daily life. Accordingly, all lines of insurance are potentially implicated by the spread of this disease. We expect more U.S. state insurance departments to issue guidance on a wide range of insurance-related topics.
Below is a list of administrative materials, organized by jurisdiction, issued by U.S. state insurance departments to provide guidance to both the insurance industry and consumers relating to other insurance topics and COVID-19.
Indiana
Maryland