Health Insurance - Rate and Form Filing Information for Implementation
of the Patient Protection and Affordable Care Act Provisions
Chapters 670, 679, and 751, Acts of Assembly, establish a number of new requirements
applicable to health insurance coverage issued in Virginia. Among other things,
these bills conform Virginia law to the 2014 provisions addressed in the Patient
Protection and Affordable Care Act (PPACA), also referred to as the Affordable Care
Act (ACA); require the review and approval of premium rates applicable to many health
insurance products; and require the Bureau of Insurance, with the assistance of
the Virginia Department of Health, to perform plan management functions for the
federal health benefits exchange in Virginia.
The Bureau created this webpage to assist insurers as they prepare their product
filings to comply with these new requirements. This webpage includes general guidance
information. Please see the NAIC Product Checklists page to download applicable
product-specific form review checklists, the Essential Health Benefits checklist, the Mental Health Parity and Addiction Equity Act checklist,
and the Rate Review checklist. General Filing Instructions and Plan Management General
Instructions may be found in SERFF. A timeline of BOI Plan Management and general
review activities in Virginia for health insurance plans are posted at: http://www.scc.virginia.gov/boi/co/health/index.aspx
To receive alerts each time the webpage is updated, enter your e-mail address at
the envelope icon
in the upper right corner of this page. We strongly encourage all carriers and interested
parties to consult this webpage often and regularly to promote complete and accurate
submissions, facilitating their timely review.
Guidance Information:
- Essential Health Benefits (EHBs)
- Premium Rate Review Requirements
- Filing Deadlines
Workshops and Meetings:
-
Upcoming Webinar:
Skype Meeting to introduce the new Virginia Rate Filing Template
Thursday, April 19, 2018
10:00 am – Noon
The meeting will present the new template from a shared screen. There will be an opportunity for questions.
The new Virginia Rate Filing Template has been posted at: http://www.scc.virginia.gov/boi/co/health/lh_check.aspx
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 16, 2018 12:52 PM