§ 4022.
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/vt/title-8/chapter-107/4022A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§ 4022. Rebates and commissions prohibited for nongroup and small group policies and plans offered through the Vermont Health Benefit Exchange
(a)No health insurer doing business in this State and no insurance agent or broker shall:
(1)offer, promise, allow, give, set off, or pay, directly or indirectly:
(A)any rebate of or part of the premium payable on a health insurance plan issued pursuant to 33 V.S.A. § 1811 or earnings, profits, dividends, or other benefits founded, arising, accruing, or to accrue on or from the premium;
(B)any special advantage in date of policy or age of issue;
(C)any paid employment or contract for services of any kind; or
(D)any other valuable consideration or inducement to or for insurance on any risk in this State, or for or upon any renewal of any such insurance, that is not specified in the health insurance plan; or
(2)offer, promise, give, option, sell, or purchase any stocks, bonds, securities, or property, or any dividends or profits accruing or to accrue on them, or other thing of value as inducement to insurance or in connection with insurance, or any renewal thereof, that is not specified in the health insurance plan.
(b)No person insured under a health insurance plan issued pursuant to 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 of the premium, or any favor or advantage, or share in any benefit to accrue under any health insurance plan issued pursuant to 33 V.S.A. § 1811, or any valuable consideration or inducement, that is not specified in the health insurance plan.
(c)Nothing in this section shall be construed as prohibiting any health insurer from:
(1)allowing or returning to its participating policyholders dividends, savings, or unused premium deposits;
(2)returning or otherwise abating, in full or in part, the premiums of its policyholders out of surplus accumulated from nonparticipating insurance; or
(3)taking 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 33 V.S.A. § 1811, nor shall a health insurer include in an insurance rate for a health insurance plan issued pursuant to 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 shall 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). (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)