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What Insurance organizations are saying about federal rules

99 Insurance organizations have filed 263 comment letters on 87 proposed federal rules. The most active are American Council of Life Insurers (ACLI), AHIP, Blue Cross Blue Shield Association (BCBSA). Search their letters.

Comment letters

263

Organizations

99

Rules commented on

87

Agencies they write to most

HHS 133 CMS 96 SEC 44 Treasury 38 Office of the Secretary (Health and Human Services Department) 37 OCC 19 FDIC 17 Federal Reserve 16 Financial Stability Oversight Council 11 Labor Department 11 FinCEN 9 NCUA 9 EBSA 7 IRS 6 FTC 5

Most active organizations

1. American Council of Life Insurers (ACLI) · 19 letters on 16 rules
2. AHIP · 16 letters on 16 rules
3. Blue Cross Blue Shield Association (BCBSA) · 14 letters on 14 rules
4. Teachers Insurance and Annuity Association of America (TIAA) · 13 letters on 13 rules
5. Insured Retirement Institute · 11 letters on 11 rules
6. UnitedHealth Group · 11 letters on 11 rules
7. Alliance of Community Health Plans (ACHP) · 7 letters on 7 rules
8. American Property Casualty Insurance Association (APCIA) · 6 letters on 5 rules
9. Point32Health · 6 letters on 6 rules
10. The Committee of Annuity Insurers · 6 letters on 6 rules
11. The Cigna Group · 5 letters on 5 rules
12. TruStage · 5 letters on 5 rules
13. Association for Community Affiliated Plans · 4 letters on 4 rules
14. Blue Cross Blue Shield of Massachusetts · 4 letters on 4 rules
15. Delta Dental Plans Association · 4 letters on 4 rules
16. Humana, Inc. · 4 letters on 4 rules
17. Medicaid & Medicare Advantage Products Association of Puerto Rico (MMAPA) · 4 letters on 4 rules
18. National Association of Mutual Insurance Companies (NAMIC) · 4 letters on 4 rules
19. The Insurance Coalition · 4 letters on 3 rules
20. American Academy of Actuaries · 3 letters on 3 rules
21. American Share Insurance · 3 letters on 3 rules
22. Assured Guaranty Inc. · 3 letters on 3 rules
23. Centene Corporation · 3 letters on 3 rules
24. Elevance Health · 3 letters on 3 rules
25. Medicaid Health Plans of America · 3 letters on 3 rules
26. National Association of Benefits and Insurance Professionals · 3 letters on 3 rules
27. Reinsurance Association of America · 3 letters on 3 rules
28. The National MLTSS Health Plan Association (“MLTSS Association”) · 3 letters on 3 rules
29. U.S. Mortgage Insurers (USMI) · 3 letters on 3 rules
30. Allianz Trade · 2 letters on 2 rules
31. American Mutual Share Insurance Corporation · 2 letters on 2 rules
32. Arch Capital Group Ltd. · 2 letters on 2 rules
33. Blue Shield of California · 2 letters on 2 rules
34. California Association of Health Plans · 2 letters on 2 rules
35. Devoted Health, Inc. · 2 letters on 2 rules
36. Excellus Health Plan, Inc. · 2 letters on 2 rules
37. Fallon Health · 2 letters on 2 rules
38. Highmark Inc. · 2 letters on 2 rules
39. Marsh · 2 letters on 2 rules
40. Minnesota Council of Health Plans · 2 letters on 2 rules
41. National Association of Insurance and Financial Advisors · 2 letters on 2 rules
42. Northwestern Mutual Life Insurance Company · 2 letters on 2 rules
43. Oscar Health · 2 letters on 2 rules
44. SCAN Health Plan · 2 letters on 2 rules
45. UnitedHealthcare · 2 letters on 2 rules
46. 32BJ Health Fund · 1 letter on 1 rule
47. Agidel Insurance Agency LLC · 1 letter on 1 rule
48. Ann Hammond Life and Health Insurance Agent · 1 letter on 1 rule
49. Blue Cross Blue Shield of Michigan · 1 letter on 1 rule
50. Catherine OKeefe CSR Insurance · 1 letter on 1 rule

Rules that drew the most letters from this industry

• Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges CMS-2026-1255 · Office of the Secretary (Health and Human Services Department) · 17 letters
• Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard CMS-2026-2081 · HHS · 15 letters
• Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole Proposed Rule CMS-2025-0052 · CMS · 14 letters
• Request for Information (RFI) Related to Comprehensive Regulations To Uncover Suspicious Healthcare (CRUSH) CMS-2026-0826 · CMS · 14 letters
• Semiannual Reporting S7-2026-15 · SEC · 12 letters
• Regulatory Capital Rule: Category I and II Banking Organizations, Banking Organizations With Significant Trading Activity, and Optional Adoption for Other Banking Organizations OCC-2026-0265 · FDIC · 8 letters
• Cybersecurity Risk Management, Strategy, Governance, and Incident Disclosure S7-09-22 · SEC · 7 letters Final rule 2023
• Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability HHS-ONC-2024-0010 · Office of the Secretary (Health and Human Services Department) · 7 letters
• HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information HHS-OCR-2024-0020 · Office of the Secretary (Health and Human Services Department) · 7 letters
• Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes CMS-2026-2476 · CMS · 7 letters
• Regulatory Capital Rules: Regulatory Capital and Standardized Approach for Risk-Weighted Assets OCC-2026-0034 · FDIC · 7 letters
• Authority To Require Supervision and Regulation of Certain Nonbank Financial Companies FSOC-2023-0002 · Financial Stability Oversight Council · 6 letters
• Medicare Drug Price Negotiation Program and Medicare Prescription Drug Benefit Program CMS-2026-2080 · CMS · 6 letters
• Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots CMS-2026-2344 · CMS · 6 letters
• Request for Information (RFI): Pharmacy Benefit Manager Compensation and Data Collection CMS-2026-2212 · CMS · 6 letters
• Amendments to PCAOB Auditing Standards related to a Company’s Noncompliance with Laws and Regulations and Other Related Amendments Docket No. 51 · Public Company Accounting Oversight Board (PCAOB) · 5 letters
• Non-Compete Clause Rule FTC-2023-0007 · FTC · 5 letters
• Electronic Delivery of Information Under the Federal Securities Laws S7-2026-25 · SEC · 4 letters
• Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions To Unleash Prosperity HHS-ONC-2025-0005 · Office of the Secretary (Health and Human Services Department) · 4 letters
• Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction CMS-2025-0304 · CMS · 4 letters
• Aid of Analyses of the Terrorism Risk Insurance Program TREAS-TRIP-2023-0004-0001 · Treasury · 3 letters
• Authority To Require Supervision and Regulation of Certain Nonbank Financial Companies FSOC-2026-0034 · Financial Stability Oversight Council · 3 letters
• Cybersecurity Risk Management for Investment Advisers, Registered Investment Companies, and Business Development Companies S7-04-22 · SEC · 3 letters Withdrawn 2025
• Fiduciary Duties in Selecting Designated Investment Alternatives EBSA-2026-0166 · EBSA · 3 letters
• Global Benchmark for Efficient Drug Pricing (GLOBE) Model CMS-2025-1889 · CMS · 3 letters

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