Vermont § 5104 - Filing and approval of rates and forms; supplemental orders
Full text of Vermont Vermont Statutes Online § 5104 — Filing and approval of rates and forms; supplemental orders, with citation guidance and answers to common questions.
§ 5104. Filing and approval of rates and forms; supplemental orders
- (a)(1) A health maintenance organization that has received a certificate of authority under
section 5102 of this title shall file and obtain approval of all policy forms and rates as provided in sections
4026 and 4027 of this title. This requirement shall include the filing of administrative
retentions for any business in which the organization acts as a third-party administrator
or in any other administrative processing capacity. The Commissioner or the Green
Mountain Care Board, as appropriate, may request and shall receive any information
that the Commissioner or the Board deems necessary to evaluate the filing. In addition
to any other information requested, the Commissioner or the Board shall require the
filing of information on costs for providing services to the organization’s Vermont
members affected by the policy form or rate, including Vermont claims experience,
and administrative and overhead costs allocated to the service of Vermont members.
Prior to approval, there shall be a public comment period pursuant to section 4026
of this title. A health maintenance organization shall file a summary of rate filings
pursuant to section 4026 of this title. (2) The Commissioner or the Board shall refuse to approve the form of evidence of coverage,
filing, or rate if it contains any provision that is unjust, unfair, inequitable,
misleading, or contrary to the law of the State or plan of operation, or if the rates
are excessive, inadequate, or unfairly discriminatory, fail to protect the organization’s
solvency, or fail to meet the standards of affordability, promotion of quality care,
and promotion of access pursuant to section 4026 of this title. No evidence of coverage
shall be offered to any potential member unless the person making the offer has first
been licensed as an insurance agent in accordance with chapter 131 of this title.
Source: official Vermont text · Last verified 2026-08-27
Frequently Asked Questions About Vermont § 5104
What does Vermont Statutes Online § 5104 cover?
Section 5104 ("Filing and approval of rates and forms; supplemental orders") is part of the Vermont Statutes Online, the codified statutory law of Vermont. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Vermont § 5104?
A common citation format is "Vermont Statutes Online § 5104" (Vermont). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Vermont law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Vermont official source linked on this page or consult a licensed Vermont attorney.
How does Vermont § 5104 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Vermont can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Vermont.