HIV Testing Information and Consent Forms (Revised)

# STATE OF VERMONT ## DEPARTMENT OF FINANCIAL REGULATION Insurance Division Bulletin 138 (Revised) HIV Testing Information & Consent Form The purpose of this bulletin is to notify insurers that effective July 1, 2019, Title 8 V.S.A. 4724(20), regarding HIV testing requirements, was amended by Act No. 57 of the 2019 Legislative Session. The forms for consent, disclosure, and notification of test results must be filed with and approved by the Commissioner prior to their use. The department has drafted revised model forms: HIV TESTING INFORMATION STATEMENT & CONSENT FORM (VT-Bulletin138-Form 1 (Rev. 09/19)) and Vermont Notification of Test Result Letters (VT-Bulletin138-Form 2, 3, 4, 5 (Rev. 09/19)), for insurers to consider using. Use of these forms will result in an expedited approval. Questions should be directed to: Emily Brown Director of Rates and Forms Vermont Department of Financial Regulation Phone: (802) 828-4871 Email: Emily.Brown@vermont.gov Dated at Montpelier, Vermont on this 4th day of September, 2019. Michael S. Pieciak Michael S. Pieciak, Commissioner