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ACA Rate & Form Filing Information

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Use the information below to prepare product filings to comply with the requirements of the Patient Protection and Affordable Care Act (PPACA), also referred to as the Affordable Care Act (ACA).

General Filing Instructions and Plan Management General Instructions may be found in SERFF.

Timeline of BOI Plan Management and General Review Activities (UPDATED 04/18/2019)

Important NAIC Product Checklists

Guidance Information:

Essential Health Benefits (EHBs)
- 2014-2016 EHB Benchmark
  - EHB Guidance Document (Revised 04/23/2013)
  - EHB Benchmark Plan Documents
- 2017 EHB Benchmark Summary and Plan Documents
Premium Rate Review Requirements
- Rating Areas (Revised 6/06/2013)
- Composite Premiums in the Small Group Market – Information (Revised 03/10/2015)
  - Approved Virginia Alternate Methodology

Communications:

Please select shaded links below to display content.

Advisories

Bureau of Insurance Notice: Recent Legislation Affecting Small Employer Group Size (Revised 02/11/2016)

Bureau of Insurance Statement Regarding the Extension of Individual and Group Health Insurance Plans (11/19/2014)

Bureau of Insurance Statement Concerning Policy Renewals and Discontinuances (10/02/2014)

Bureau of Insurance Letter to All Carriers Who Offered the Option to Policyholders to Extend their 2013 Health Insurance Coverage into 2014 (6/6/2014)

Bureau of Insurance Statement on Further Extension of Individual and Small Group Health Insurance Plans (3/07/2014)

Bureau of Insurance Statement on Health Plan Renewals (11/20/2013)

Workshops and Meetings

Workshops and MeetingsUpcoming Workshops and MeetingsPast Workshops and Meetings

Teleconference with carriers to discuss ACA filing issues – March 28, 2019 10-11 am

NEW! Rate Presentation Slides

2019 Premium Rate Presentations - July 24, 2018

Order Directing Presentations – Case Number: INS-2018-00083
2019 Presentations
Transcript - Case Number INS-2018-00083

Skype Meeting to introduce the new Virginia Rate Filing Template - Thursday, April 19, 2018

The new Virginia Rate Filing Template has been posted at www.scc.virginia.gov/boi/co/health/lh_check.aspx

2018 Premium Rate Presentations - July 25, 2017

Order Directing Presentations – Case Number: INS-2017-00050
2018 Presentations
Transcript - Case Number INS-2017-00050

2017 Premium Rate Presentations - July 20, 2016

2016 Premium Rate Presentations - July 22, 2015

2015 Premium Rate Presentations - July 23, 2014

Order Directing Presentations - Case Number: INS-2014-00120

Workshop Meeting - March 28, 2013

If you have any questions regarding any information on this page or in any of the attachments, please contact us at ACAFilingInfo@scc.virginia.gov

Last Updated: April 18, 2019 11:00 AM

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