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Designated Responsible Licensed Producer Purpose and Responsibilities

TO: RESIDENT AND NON-RESIDENT INSURANCE PRODUCER FIRMS AND SURPLUS LINES BROKERAGES
FROM BRYAN STEVENS, LICENSING SUPERVISOR
RE: DESIGNATED RESPONSIBLE LICENSED PRODUCERS
DATE: SEPTEMBER 1, 2021

This memorandum serves to clarify the purpose and responsibilities of a Designated Responsible Licensed Producer, also known as a DRLP or DLP, in the State of Wyoming.

Every organization holding a business entity insurance license in the State of Wyoming must designate one to five individuals as the DLP(s). The DLP(s) are responsible for the business entity’s compliance with the insurance laws, rules, and regulations of the State of Wyoming. This includes making sure that all employees of the organization are acting within the boundaries of Wyoming statutes and regulations.

For example, if Joe Agent of ABC Insurance Agency is found to have violated Wyoming statutes or regulations ABC Insurance Agency will also be investigated. If it is found that ABC Insurance Agency did not properly supervise the actions of Joe Agent both ABC Insurance Agency and Joe Agent may be sanctioned. If ABC Insurance Agency is sanctioned all DLPs of the agency will be sanctioned as well. No one DLP may be found to have more supervisory responsibilities than another; all will be held equally accountable.

Furthermore, an entity is allowed a maximum of 5 DLPs. If an entity has more than 5 DLPs listed the Department will require them to update their list to reflect only the individuals that should be held accountable for the actions of the agency. We encourage all licensed business entities to verify their list of DLPs and keep it up-to-date.

If you have any questions about DLPs please utilize the Department’s contact form.

2022 Extension of Transitional Health Insurance Plans

To: All Companies Writing Individual & Small Group Health Insurance in Wyoming
From: Jeffrey P. Rude, Insurance Commissioner
Date: May 1, 2021
Subject: Extension of Transition Plans

On January 19, 2021, the Center for Consumer Information and Insurance Oversight (CCIIO) issued guidance that allows states the option to extend transitional policies for individual and small group health insurance plans to policy years beginning on or before October 1, 2022 provided that all policies end by January 1, 2023. The bulletin from CCIIO can be found at:

https://www.cms.gov/files/document/extension-limited-non-enforcement-policy-through-calendar-year-2022.pdf*.

In other words, states were given the option to extend transitional or “grandmothered” plans for individual and small group health insurance plans for PY2022.

Pursuant to the option provided to the states by CCIIO, the State of Wyoming will allow transitional policies for both the individual and small group health insurance markets to continue until January 1, 2023. A carrier is not required to continue to offer the transitional policies and may discontinue them, subject to state and federal rules on discontinuance, at their discretion. The Department advises insurers to continue to monitor CCIIO’s website for any subsequent guidance that may be issued on this subject and to follow it accordingly. As before, all other plans issued after January 1, 2014 must be compliant with the Affordable Care Act (ACA).

If insurers choose to renew their transitional policies, the policies may be renewed for no longer than 12 months and must end by January 1, 2023. The Department is not requiring insurers to renew their transitional policies. Insurers may determine at their discretion whether to renew transitional policies, so long as the determination is made on a non-discriminatory basis.

Furthermore, consumers may not purchase new transitional policies or switch to a different insurer to replace an existing transitional policy. Transitional policies that have been cancelled cannot be reinstated.

Questions regarding this notice can be directed to: Denise Burke, Senior Health Policy Analyst at Denise.Burke@wyo.gov or Tana Howard, Section Manager at Tana.Howard@wyo.gov. During the COVID-19 pandemic, the DOI remains open; however, many employees continue to work remotely. The DOI main desk can be reached at 307-777-7401 and the receptionist will see that your calls are directed to the appropriate person.

2021 Special Enrollment Period for Federal Marketplace

February 11, 2021

Wyomingites looking for health insurance will have an additional opportunity to sign up for Affordable Care Act (ACA) coverage from Feb. 15 to May 15 on HealthCare.gov ↗. In light of the exceptional challenges and uncertainty caused by the coronavirus pandemic, President Biden signed an executive order on Jan. 28 that created a three-month special enrollment period (SEP) to give Americans greater access to health insurance, including those who lost their jobs or their insurance coverage as part of the fallout from the pandemic. Individuals currently covered under a Marketplace plan will be able to change to any plan available in Wyoming without being restricted to the same level of coverage as their current plan. Insurance Commissioner Jeff Rude said, "This additional enrollment period will help ensure Wyoming residents have access to comprehensive health insurance that protects them from preexisting conditions. The need for health insurance is critical, but many Wyomingites are not aware of the subsidies that may be available to help them obtain coverage,” said Commissioner Rude.

A new report from The Urban Institute shows that those newly losing employer-sponsored insurance, may have little prior experience with obtaining health insurance coverage and have little understanding of the subsidies that may be available to them. This report found that nearly half of uninsured adults familiar with Marketplace health plans had not looked for information, most frequently because of cost concerns and a lack of familiarity with the options available to them.

The Marketplace’s annual open enrollment period for 2021 coverage ended Dec. 15, 2020 and since then individuals could get coverage only if they experienced a life event that qualified them to apply for a special enrollment period (SEP). The new three-month enrollment period is open to all eligible applicants who want to apply for coverage or change their existing coverage for any reason; applicants won’t be required to provide documentation of a qualifying event (e.g., loss of a job or birth of a child).

Note that even after the special enrollment period ends on May 15, individuals who experience qualifying life-changing events will be eligible to enroll for marketplace coverage through a traditional SEP, but this enrollment period is open to anyone without having to meet a qualifying event.

Wyoming is one of 36 states that use HealthCare.gov ↗ for eligible residents to sign up for coverage. More than 26,000 Wyomingites signed up for 2021 coverage during the recent open enrollment period. For additional information or for assistance with enrollment contact Enroll Wyoming or call Wyoming 2-1-1.

The mission of this agency is to enforce the insurance laws and regulations of the State impartially, honestly, and expeditiously; to serve the consumer of insurance; to encourage a healthy insurance marketplace; and to promote change to better serve the public interest. To this end, the highest ethical, professional, and work quality standards will be exercised in all formal and informal relationships with individuals, agencies, and companies affected by the policies and actions of the department. It is our commitment to be the best insurance regulatory agency in the United States.