§ 4085. Rebates and commissions prohibited for nongroup and small group policies and plans offered through the Vermont Health Benefit Exchange
(a) No insurer doing business in this State and no insurance agent or broker shall offer, promise, allow, give, set off, or pay, directly or indirectly, any rebate of or part of the premium payable on a plan issued pursuant to section 4080g of this title or 33 V.S.A. § 1811 or earnings, profits, dividends, or other benefits founded, arising, accruing or to accrue thereon or therefrom, or any special advantage in date of policy or age of issue, or any paid employment or contract for services of any kind or any other valuable consideration or inducement to or for insurance on any risk in this State, now or hereafter to be written, or for or upon any renewal of any such insurance, which is not specified in the policy contract of insurance, or offer, promise, give, option, sell, purchase any stocks, bonds, securities, or property or any dividends or profits accruing or to accrue thereon, or other thing of value whatsoever as inducement to insurance or in connection therewith, or any renewal thereof, which is not specified in the plan.
(b) No person insured under a plan issued pursuant to section 4080g of this title or 33 V.S.A. § 1811 or party or applicant for such plan shall directly or indirectly receive or accept or agree to receive or accept any rebate of premium or of any part thereof, or any favor or advantage, or share in any benefit to accrue under any plan issued pursuant to section 4080g of this title or 33 V.S.A. § 1811, or any valuable consideration or inducement, other than such as is specified in the plan.
(c) Nothing in this section shall be construed as prohibiting any insurer from allowing or returning to its participating policyholders dividends, savings, or unused premium deposits; or as prohibiting any insurer from returning or otherwise abating, in full or in part, the premiums of its policyholders out of surplus accumulated from nonparticipating insurance, or as prohibiting the taking of a bona fide obligation, with interest not exceeding six percent per annum, in payment of any premium.
(d)(1) No insurer shall pay any commission, fee, or other compensation, directly or indirectly, to a licensed or unlicensed agent, broker, or other individual in connection with the sale of a health insurance plan issued pursuant to section 4080g of this title or 33 V.S.A. § 1811, nor shall an insurer include in an insurance rate for a health insurance plan issued pursuant to section 4080g of this title or 33 V.S.A. § 1811 any sums related to services provided by an agent, broker, or other individual. A health insurer may provide to its employees’ wages, salary, and other employment-related compensation in connection with the sale of health insurance plans, but may not structure any such compensation in a manner that promotes the sale of particular health insurance plans over other plans offered by that insurer.
(2) Nothing in this subsection shall be construed to prohibit the Vermont Health Benefit Exchange established in 33 V.S.A. chapter 18, subchapter 1 from structuring compensation for agents or brokers in the form of an additional commission, fee, or other compensation outside insurance rates or from compensating agents, brokers, or other individuals through the procedures and payment mechanisms established pursuant to 33 V.S.A. § 1805(17). (Amended 2011, No. 171 (Adj. Sess.), § 2e, eff. Jan. 1, 2014.)
Structure Vermont Statutes
Title 8 - Banking and Insurance
Chapter 107 - Health Insurance
§ 4062. Filing and approval of policy forms and premiums
§ 4062b. Medicare supplemental health insurance
§ 4062c. Compliance with federal law
§ 4062e. Compliance with Medicaid recovery provisions
§ 4062f. Discretionary clauses prohibited
§ 4063. Form and contents of policy
§ 4063a. Coverage for civil unions
§ 4063b. Coverage for employees of an employer domiciled outside Vermont
§ 4064. Provisions applying to policies delivered in another state
§ 4065. Required standard policy provisions
§ 4066. Optional standard policy provisions
§ 4067. Omission of inapplicable or inconsistent standard provisions
§ 4068. Order of standard policy provisions
§ 4070. Requirements of other jurisdictions
§ 4071. Regulations on filing policies
§ 4072. Nonconforming policies
§ 4073. Applications for insurance
§ 4077. Termination; comprehensive major medical policies; grace period
§ 4079. Group insurance policies; definitions
§ 4079a. Association health plans
§ 4080. Required policy provisions
§ 4080d. Coordination of insurance coverage with Medicaid
§ 4080e. Medicare supplemental health insurance policies; community rating; disability
§ 4081. Blanket health insurance
§ 4082. Blanket insurance; policy contents
§ 4083. Discrimination prohibited
§ 4084a. Short-term, limited-duration health insurance
§ 4085a. Rebates prohibited for group insurance policies
§ 4086. Exemption from attachment and trustee process
§ 4087. Penalties for violations
§ 4088a. Chiropractic services
§ 4088b. Clinical trials for cancer patients
§ 4088c. Chemotherapy treatment
§ 4088d. Coverage for covered services provided by naturopathic physicians
§ 4088e. Notice of preferred drug list changes
§ 4088g. Coverage for covered services provided by athletic trainers
§ 4088h. Health insurance and the Blueprint for Health
§ 4088i. Coverage for diagnosis and treatment of early childhood developmental disorders
§ 4088j. Choice of providers for vision care and medical eye care services
§ 4088k. Physical therapy co-payments for certain plans
§ 4088l. Coverage for hearing aids [Effective January 1, 2024]
§ 4089. Services for victims of sexual assault
§ 4089a. Mental health care services review
§ 4089b. Health insurance coverage, mental health, and substance use disorder
§ 4089d. Coverage; dependent children
§ 4089e. Treatment of inherited metabolic diseases
§ 4089f. Independent external review of health care service decisions
§ 4089g. Craniofacial disorders
§ 4089h. Cancellation or nonrenewal of health insurance coverage
§ 4089i. Prescription drug coverage
§ 4089j. Retail pharmacies; filling of prescriptions
§ 4090a. Continuation of group
§ 4090b. Continuation; notice; terms
§ 4090c. Termination of coverage
§ 4090e. Conversion; notice; terms
§ 4090f. Exemptions; termination
§ 4091b. Policies and contracts covered
§ 4091c. Termination for nonpayment of premium or subscription charges
§ 4091d. Notice of termination
§ 4091e. Extension of benefits
§ 4092. Newborn infants; coverage
§ 4096. Home health care; insurance
§ 4099c. Reproductive health equity in health insurance coverage
§ 4099d. Midwifery coverage; home births
§ 4100a. Mammograms; coverage required
§ 4100c. Adopted child coverage
§ 4100d. Child vaccine benefits
§ 4100e. Required coverage for off-label use
§ 4100f. Prostate screenings; coverage required
§ 4100g. Colorectal cancer screening, coverage required
§ 4100h. Orally administered anticancer medication; coverage required
§ 4100i. Anesthesia coverage for certain dental procedures
§ 4100j. Coverage for tobacco cessation programs
§ 4100l. Coverage of health care services delivered by audio-only telephone