The National Association of Insurance Commissioners (NAIC) has established this resource page to support the public, business community and insurance professionals understand and manage the risks of the current outbreak of COVID-19, commonly known as Coronavirus. While one can’t predict how the current situation will unfold, the NAIC believes understanding the history of previous events and knowledge of the current situation can help people understand and reduce their current risks. We encourage you to review and share this site with others in an effort to limit the human and economic impacts of COVID-19.
Below, find state actions taken in response to the COVID 19 pandemic that impact insurance. Use the category menu to search by insurance topic and further sort by state, type of action, and/or line of insurance.
Download or view the charts listing actions by state for:
- Life and Health (updated 11-6-2020)
- Property and Casualty (updated 11-6-2020)
- Emergency Declarations/Shelter in Place Orders/Essential Business Definitions (updated 5-13-2020)
As states begin to reopen, the NAIC will no longer update this spreadsheet. For current updates, please visit NGA's COVID-19 State and Territory Actions Tracker.
State regulators are asked to email information about new bulletins or state actions to firstname.lastname@example.org.
State actions are characterized as orders when they state that insurers are required, directed, or instructed to take an action. They are characterized as requests when they ask, request, urge or encourage insurers to take an action. Notices advise insurers, consumers, or others of relevant information. While the NAIC has worked to present accurate summaries of state information, regulated entities should rely on official regulator communications which can be accessed on state websites or by using the provided links.
- "It’s not the year we thought we were going to have, but it’s the year we’ve got." It’s a saying NAIC CEO and host Mike Consedine discusses with NAIC President and South Carolina Department of Insurance Director Ray Farmer on The Regulators. They talk about the "new normal" and how state insurance departments are adjusting, including how they’re helping consumers and learning innovative ways to manage work, while maintaining social distance during the COVID-19 pandemic.
- Listen to Kansas Department of Insurance Commissioner Vicki Schmidt share the unique way her department is responding to COVID-19 related producer licensing challenges in The Regulators.
- Listen to our CEO, Mike Consedine, talk with the Society of Actuaries (SOA) about the NAIC’s work bringing consumers, regulators and insurance companies together on COVID-19 response and the importance of actuaries in assessing and monitoring the impact on insurance. The full SOA Research Insights podcast is here.
The CIPR has compiled a list of research reports, briefs, and resources relating to pandemics and the impacts on various segments of the insurance industry.
- A high-level overview of the impacts of pandemics on the insurance industry.
- NAIC’s independent research division, the Center for Insurance Policy and Research partnered with the Wisconsin School of Business (WSB) Insurance Experts Panel to find out the extent to which insurance experts agree or disagree on recent major public policy issues related to opening special enrollment periods. The more than 50 insurance experts on the WSB Insurance Experts Panel provided their insights. The findings in this report do not necessarily reflect the opinions of the NAIC or its commissioners.
- Together with the Wisconsin School of Business, the CIPR presents the findings of a survey of the insights of more than 50 insurance experts on the issue of pandemic business interruption coverage.
- In 2015, the CIPR held a pandemics symposium. In this piece, former CIPR Director Eric Nordman and current CIPR Director Jeff Czajkowski reflect on the event and implications for the COVID-19 pandemic.
- NAIC Research Librarians have curated a list of reports, articles and other resources relating to pandemics. Most of the resources are open access and free to the public.
- Insurance regulators have closely followed pandemics for nearly 150 years. NAIC Librarians look back at the NAIC Proceedings to highlight discussions by regulators on past pandemics from smallpox to HIV/AIDS to SARS.
- The COVID-19 pandemic has triggered huge growth in the use of telehealth services. Here we provide an overview of the issue and ways states are paving the way for increased access to telehealth services during the pandemic.
- In the fall of 1919, regulators from the Connecticut Department of Insurance presented a report to the NAIC of the effect of the pandemic on the insurance industry thus far. Here we summarize the key findings of the report.
- As COVID-19 continues to spread in the U.S., it is impacting every aspect of our lives, personal and business. The NAIC’s Journal of Insurance Regulation is issuing a special call for articles related to how it is and will continue to impact the insurance industry and its regulation from an operational, business, and investment perspective.
NAIC Statement on Congressional Action Relating to COVID-19 (March 25, 2020)
NewsWire is NAIC’s free news clipping service. Keep up on the latest insurance news, subscribe to Newswire
The NAIC held a special session on COVID-19 via Webex on Friday, March 20th. This special session includes a variety of presentations including: pandemic modeling, information around policy coverage, financial impact to the insurance industry and insurer readiness.
Welcome and Introductions
• Ray Farmer, South Carolina Insurance Director Ray and NAIC President
Presentation on Virus Progression and Pathology
• Dr. Jay Butler, Deputy Director for Infectious Disease, Centers for Disease Control and Prevention (CDC)
Presentation on Pandemic Modeling
• Matt Nielsen, Senior Director, Governmental and Regulatory Affairs, Risk Management Solutions (RMS)
• Maria Lomelo, Director of Product Management, RMS
• Brice Jabo, Medical Epidemiologist, RMS
Discussion on Impact on Health Insurance Market
• Randy Pate, CMS Deputy Administrator and Director, Center for Consumer Information and Insurance Oversight (CCIIO)
• Troy Oechsner, Partner, Manatt Health
Presentation and Discussion on Financial Impact/Policy Coverage Issues
• Commissioner Scott White (VA), NAIC Financial Condition (E) Committee Chair
• Sean Kevelighan, President & CEO, Insurance Information Institute (III)
• Michel Leonard, Vice President and Senior Economist, III
Panel Discussion: Insurer Readiness and Consumer Issues
• Susan K. Neely, President & Chief Executive Officer, American Council of Life Insurers (ACLI)
• Matt Eyles, President & Chief Executive Officer, America’s Health Insurance Plans (AHIP)
• Dr. David Sampson, President & Chief Executive Officer, American Property Casualty Insurance Association (APCIA)
• Sarah Lueck, NAIC Consumer Representative and Senior Policy Analyst, Center on Budget and Policy Priorities
States’ Health Insurance Market Response
• Commissioner Jessica K. Altman (PA), NAIC Health Insurance and Managed Care (B) Committee Chair
• Ray Farmer, South Carolina Insurance Director Ray and NAIC President
Learn more about the COVID-19 virus, how it is spread, reducing your risk of exposure and caring for yourself or others if exposed.
- NIH clinical trial of investigational vaccine for COVID-19 begins (March 16, 2020)
- World Health Organization (WHO) Declares Coronavirus a Pandemic (March 11, 2020)
- Johns Hopkins Center for Health Security
- World Health Organization (WHO)
- U. S. Centers for Disease Control and Prevention
- Coronavirus COVID-19 Global Cases by Johns Hopkins CSSE
- Harvard Medical School Coronavirus (COVID-19) FAQs
- Office of Inspector General - HHS
- Society of Actuaries Research Brief Impact of COVID-19 (March 16, 2020)
- Coronavirus Act Now
NATIONAL CONFERENCE OF STATE LEGISLATURES
INSURANCE INFORMATION INSTITUTE (III)
CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)
- Coronavirus Disease 2019
- Healthcare Professionals: Frequently Asked Questions and Answers
- CDC’s Dr. Jay Butler on What Older Adults Need to Know
THE WHITE HOUSE
- Ambassador Birx on Who Needs to be Tested for Coronavirus
- Surgeon General Message to Millennials
- Social Distancing
NATIONAL INSTITUTES OF HEALTH (NIH)
- NIH clinical trial of investigational vaccine for COVID-19 begins (March 16, 2020)
- Coronavirus Disease 2019 (COVID-19)
FOOD AND DRUG ADMINISTRATION (FDA)
- FDA Guidance on Conduct of Clinical Trials of Medical Products during COVID-19 Pandemic
- Food Safety and the Coronavirus Disease 2019 (COVID-19)
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
- Recommended Preventive Practices and FAQs for Faith-based and Community Leaders
- HHS Expanding Public-Private Partnerships
CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)
- CMS Guidance to Programs of All-Inclusive Care for the Elderly (PACE) Organizations
- CMS Issues Guidance on Elective Surgeries and Non-Essential Procedures
- CMS Issues FAQ on Testing and Treatment Coverage by Catastrophic Plans
- CMS Develops Additional Code for Coronavirus Lab Tests
- Medicaid and CHIP
- Individual and Small Group Market Insurance Coverage
- Current Emergencies
- CMS Announces Actions to Address Spread of Coronavirus
AMERICA'S HEALTH INSURANCE PLANS (AHIP)
- Keeping Americans Safe from Coronavirus (COVID 19)
- Statement by the AHIP Board of Directors: Taking Action to Address Coronavirus COVID-19
BLUE CROSS BLUE SHIELD ASSOCIATION (BCBSA)
Like other sectors of our economy, the insurance sector has been impacted by the COVID-19 (commonly known as Coronavirus) pandemic of 2020. Regulators are engaged in heightened monitoring of the insurance industry to assess the impact of COVID-19 on various types of insurance, individual companies, and the sector as a whole.The U.S. insurance sector remains strong and has a unique role to play in providing protection to consumers and businesses impacted by the pandemic. Several types of insurance have provisions and exclusions that may be triggered as a result of COVID-19 and below is a list of the most common types. As with all insurance policies, consumers should review their policy documents, contact their insurance agent or broker for assistance, and connect with their state department of insurance if they have questions.
There are various types of health insurance policies and the type of policy you have will determine what testing and treatment associated with COVID-19 will be covered and the out-of-pocket cost to you.
Individual health insurance is coverage you purchase on your own, on an individual or family basis, as opposed to obtaining it through an employer. Small-group health insurance is provided by an employer and geared toward businesses with 50 or fewer full-time equivalent employees. If you have an individual or small group health insurance policy, testing and treatment for COVID-19 is covered. However, there may be some out-of-pocket costs, or “cost sharing” associated with testing or treatment. States and insurance carriers have been working together to eliminate this cost-sharing for testing. You should check with your insurer and provider to determine what is covered and what, if any, cost-sharing will be associated with any testing or treatment.
Large-group health insurance is offered by businesses that have more than 50 full-time equivalent employees. If you have large group coverage, you may be covered for COVID-19 testing and treatment, but you should check with your employer and insurer to see what is covered and what your cost will be.
If you have Medicaid or Medicare you are covered for COVID-19 testing and treatment and, in most instances, there will be little or no cost to you. Check with your insurer, Medicare or your state Medicaid office to learn more about your coverage.
Lastly, excepted benefit policies, short-term, limited-duration health insurance coverage, and/or health care sharing ministries can have significant limitations on coverage and may not provide the same level of coverage. If you have a question about one of these types of insurance policies, we encourage you to contact your insurer.
A standard travel insurance policy covers things such as trip cancellation, travel medical and major medical, emergency medical evacuation, and accidental death and dismemberment. The “cancellation and interruption” coverage typically covers trip cancellation if you or a family member are prevented from taking your trip for a reason covered by your policy. You will usually receive reimbursement if your trip is canceled for unexpected illness or injury or if a doctor deems you or your traveling companion(s) unfit to travel; hospitalization or death of non-traveling member(s); unforeseen weather disaster at your home or your travel destination; a legal obligation such as being called for jury duty or serving as a witness in court. However, many travel insurance policies exclude epidemics and pandemics.
COVID-19 is now considered a known pandemic event, meaning it is not likely that travel insurance policies will cover changes in plans or cancellations for that reason. However, if your policy was purchased before it became a “known event” and you became sick, or quarantined, and can provide documentation of it, you might have coverage depending on your policy. It is possible to purchase “cancel for any reason” coverage, which likely enables you to cancel your travel plans for reasons not covered in a base policy.
All life insurance policies have one thing in common – they’re designed to pay money to the “named beneficiaries” upon death of the insured. There are two basic types of life insurance: term insurance and cash value insurance. Term insurance covers you for a term of one or more years and pays a death benefit if the insured dies during the term of the contract. Cash value life insurance is a form of permanent life insurance that features a cash value savings component. The following types of permanent life insurance policies may include a cash value feature: whole life insurance, universal life insurance, variable universal life insurance, and indexed universal life insurance. The cash value is the portion of your policy that earns interest and may be available for the policyowner to withdraw or borrow.
There is no pandemic exclusion for life insurance. General life insurance covers pandemics, assuming you were truthful about your travel plans and exposure to illness during the application process. However, the cash value component of your life insurance policy may be tied to equity markets, long term interest rates, or a specific market index, such as the S&P 500, which have fallen to new lows due to, among other things, the impacts of COVID-19. Most cash value life insurance contracts also guarantee a certain minimum rate of return that could exceed current market conditions.
An accidental death and dismemberment policy is more limited and covers deaths only when they’re accidental. It generally doesn’t cover deaths caused by illness and disease.
An annuity is an insurance contract sold by insurance companies. Generally, the beneficiary pays an insurance company a premium, and in return, the insurer provides income payments at regular intervals for the rest of your life (or some other period). Annuities can be generally classified as either fixed, variable, or indexed, based on the provisions of the contract. In a fixed annuity contract the beneficiary receives a fixed income stream for the term of the contract. In a variable annuity contract, the value of the contract varies based on the performance of an underlying portfolio of securities or mutual funds. In an indexed annuity, the value of the contract varies based on the performance of a specified market index, such as the S&P 500. Because annuity contracts may be tied to long-term interest rates, or equity markets, which have fallen to new lows due to, among other things, impacts of COVID-19, the value of various annuity contracts may be affected. Some variable annuity and indexed contracts also guarantee a certain minimum rate of return that could exceed current market conditions. Be sure to review your annuity contract to determine if it is fixed, variable, or indexed and whether it has a guaranteed minimum rate of return. Policyholders should also monitor their annuity payments and the performance of the underlying investments on an ongoing basis.
BUSINESS INTERRUPTION INSURANCE/EVENT CANCELLATION INSURANCE
Business interruption insurance coverage protects against losses sustained due to periods of suspended operations; it pays loss of revenue that would have been earned if there was no business interruption. It typically requires physical loss to property and may have specific exclusions for viral infections such as COVID-19. Contingent business interruption insurance policies protect against losses from supply chain disruptions, but may require property damage. Typically, policies exclude coverage for communicable diseases, such as COVID-19.
Not all businesses carry a stand-alone business interruption policy. However, policies that package liability coverage and property coverage into one policy will typically provide some coverage for business interruption. Most business property insurance policies either insure specific named perils, losses from specifically identified causes, or provide coverage with specific named perils excluded. In addition to a covered peril, these policies will also require that the business interruption be the result of a direct physical loss.
It is important that policyholders read the policy carefully to determine the initial scope of coverage that the policy provides for business interruption and associated extra expenses, as well as any exclusions or conditions that would limit the coverage. Consult with both your insurance agent/broker and insurer to determine the exact scope of coverage provided.
WORKERS' COMPENSATION INSURANCE
Workers’ compensation insurance covers work-related injury or illness-either sustained on business premises or due to business operations. Typically, workers’ compensation covers the employee’s medical expenses, rehabilitation costs, and at least some portion of their lost wages. Workers’ compensation policies typically cover only occupational diseases, which are diseases that are unique or peculiar to one’s job. Ordinary diseases of life are not covered. COVID-19 may be covered in certain limited circumstances depending on how the individual contracted it, their occupation, and the specific policy.
GENERAL LIABILITY AND DIRECTORS AND OFFICERS (D&O)
General Liability policies cover obligations for bodily injury and property damage, so there could be third party liability if there are bodily injury claims resulting from exposure to the COVID-19. However, some policies may have exclusions for losses resulting from epidemics or pandemics.
Directors and Officers (D&O) policies provide coverage for lawsuits brought against a company’s directors or officers for actions they may or may not have taken that negatively impact the company. There may be lawsuits related to COVID-19 if a company didn’t take adequate steps to prevent its spread, have contingency plans in place for such an event, or activate/execute those plans appropriately. Claims for financial damage to the business or shareholders may be covered.
Many of these types of insurance are customized for the business, so it is important to read your policy to understand what losses are covered.
A pet insurance policy reimburses the pet owner for specified veterinary care. These policies typically itemize covered treatments, deductibles (the amount you're responsible to pay) and lifetime or per illness maximums. The cost of the policy may vary based on the amount and type of coverage, as well as the breed or species.
The novel Coronavirus that causes COVID-19 spreads from person to person through respiratory droplets. A tiger with a respiratory illness at the Bronx Zoo was the first instance of an animal testing positive for the virus in the United States. At this time, the U.S. Centers for Disease Control and Prevention (CDC) says there is no evidence that domestic and companion pets can be a source or can spread COVID-19 to humans. The CDC and United States Department of Agriculture (USDA) do not currently recommend routine testing of animals.
Some pet insurance policies may cover testing and/or treatment if deemed necessary, however because of the current USDA and CDC recommendations, it is not likely that pets will be tested at this time.
- What Business Income Loss Coverages Are Out There? Learn the Endorsements That Can Help with Lost Business Income
- Regulators Continue to Closely Monitor the Impact of COVID-19 on Insurance
- NAIC Insurance Brief: COVID-19 and Insurance
- Updated: Taking a Trip? Information About Travel Insurance You Should Know Before You Hit the Road
- Harvard Medical School Coronavirus (COVID-19) FAQs
- Coronavirus (COVID-19) - What You Need to Know
- National Attorneys General Training & Research Institute
- Coronavirus Rumor Control
- FEMA Extends Grace Period for Flood Insurance Renewal Premiums
- National Flood Insurance Program Remote Claims Adjusting in Response to COVID-19
COVID-19 SCAMS AND FRAUD
- Avoid Coronavirus Scams (FTC)
- FTC Coronavirus Scams Part II (FTC)
- COVID-19 Consumer Scam Warnings and Safety Tips (FCC)
- COVID-19 and Scams (U.S. Department of the Treasury)
- Defending Against COVID-19 Cyber Scams (U.S. Department of Homeland Security)
- Before Giving to a Charity (FTC)
- The Virginia Coronavirus Fraud Task Force (U.S. Department of Justice)
- COVID-19 Insurance Fraud and Response Center (Coalition Against Insurance Fraud)