The bill H.35 proposes to unmerge the individual and small group health insurance markets in Vermont by amending various sections of the existing law. Notably, it raises the threshold for what constitutes a "qualified employer" from an average of 50 employees to 100 employees, effective January 1, 2016. This change allows small employers with up to 100 employees to continue participating in the Vermont Health Benefit Exchange even if their size exceeds this limit, provided they maintain qualified health benefit plans for their employees. Additionally, the bill repeals certain provisions related to the definition of small employers and the calculation of employee numbers, streamlining the criteria for participation in the health insurance exchange.

Furthermore, the bill introduces new language regarding the responsibilities of the Vermont Health Benefit Exchange, including the requirement to transfer information about individuals eligible for premium tax credits to the U.S. Department of the Treasury. It also establishes that registered carriers must guarantee acceptance of all individuals and small employers for health benefit plans, regardless of any outstanding premium amounts. The act is set to take effect on January 1, 2026, marking a significant shift in the state's approach to health insurance markets.

Statutes affected:
As Introduced: 33-1802, 33-1804, 33-1805, 33-1811
As Passed By the House -- Official: 33-1802, 33-1804, 33-1805, 33-1811
As Passed By the House -- Unofficial: 33-1802, 33-1804, 33-1805, 33-1811