Published by Trustmark Small Business Benefits on August 5th, 2025

Vermont’s health care system is under pressure and the stakes are high. With rising costs, shrinking hospital margins, and the solvency of a key commercial insurer in Vermont in question, the state’s rural providers and small businesses are feeling the squeeze.

The good news is that there’s a path forward.

At Trustmark, we believe that affordability and access don’t have to be mutually exclusive. Our level-funded benefit plans are designed to bring stability to both employers and providers, with built-in protections, transparent pricing, and reference-based pricing (RBP) options that align with Vermont’s new cost-control legislation.

As Vermont enacts two groundbreaking health care laws — H.266 and S.126 — there’s growing momentum toward a more transparent, sustainable health care system. H.266 caps hospital markups on physician-administered drugs, a move aimed at protecting patients and slowing premium growth. S.126 lays the foundation for broader payment reform, including a phased-in reference-based pricing model that ties commercial hospital payments to Medicare benchmarks. While implementation will take time, these reforms signal Vermont’s commitment to curbing runaway costs and creating a more supportive environment for employer-driven, value-based benefit models.

Brokers tell us that Vermont employers are hungry for alternatives that offer both predictability and protection. 

We’re proud to be part of that transformation.

Learn more about our Vermont launch and how we’re helping small businesses thrive: Now Available in Vermont - Small Business Benefits | Trustmark