Vermont H0430 allows health insurers to adjust premiums based on age and tobacco usage.

Vermont H0430 permits health insurers to vary premiums for individual and small group health insurance plans based on age and tobacco usage. The maximum age differential is set at a 3 to 1 ratio, and the maximum tobacco usage differential is 1.5 to 1. The Commissioner of Financial Regulation must consult with other state officials to establish these standards. The bill also limits rewards, discounts, rebates, or modifications of cost-sharing to 15 percent of the premium for the applicable coverage tier, with a total deviation not exceeding 30 percent. The act takes effect on January 1, 2026.

Vermont H0430 allows health insurers to adjust premiums based on age and tobacco usage.

Vermont H0430 permits health insurers to vary premiums for individual and small group health insurance plans based on age and tobacco usage. The maximum age differential is set at a 3 to 1 ratio, and the maximum tobacco usage differential is 1.5 to 1. The Commissioner of Financial Regulation must consult with other state officials to establish these standards. The bill also limits rewards, discounts, rebates, or modifications of cost-sharing to 15 percent of the premium for the applicable coverage tier, with a total deviation not exceeding 30 percent. The act takes effect on January 1, 2026.