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.

Letter for Carriers

Timeline of BOI Plan Management and General Review Activities

Important NAIC Product Checklists

• Essential Health Benefits Checklist
• Mental Health and Substance Use Disorder Benefits Parity
• Rate Review Checklist
• NAIC Product Review Standard State Filing Checklists for Life and Health

Guidance Information

• Essential Health Benefits (EHBs)
  • 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

Advisories

• 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)

Past Workshops and Meetings

• 2024 Premium Rate Presentations – August 9, 2023
  • Order Directing Presentations – Case Number: INS-2023-00036
  • 2024 Presentations
  • Transcript - Case Number INS-2023-00036
• 2024 Teleconference with Carriers – March 28, 2023
  • 2024 Virginia ACA Filing – Presentation Slides
• 2023 Premium Rate Presentations – August 10, 2022
  • Order Directing Presentations - Case Number: INS-2022-00040
  • 2023 Presentations
  • Transcript - Case Number INS-2022-00040
• 2023 Teleconference with Carriers – March 29, 2022
  • 2023 Virginia ACA Filing – Presentation Slides
• 2022 Premium Rate Presentations – August 11, 2021
  • Order Directing Presentations – Case Number: INS-2021-00043
  • 2022 Presentations
  • Transcript - Case Number INS-2021-00043
• 2022 Teleconference with Carriers - March 30, 2021 
  • 2022 Virginia ACA Rate Filing – Presentation Slides
• 2021 Premium Rate Presentations – August 17, 2020
  • Order Directing Presentations – Case Number: INS-2020-00090
  • Order Directing Presentations (Updated) – Case Number: INS-2020-00090 
  • 2021 Presentations
  • Transcript – Case Number INS-2020-00090
• Teleconference with carriers – March 31, 2020
  • 2021 Virginia ACA Rate Filing - Presentation Slides
• 2020 Premium Rate Presentations – July 18, 2019
  • Order Directing Presentations – Case Number: INS-2019-00031
  • 2020 Presentations
  • Transcript – Case Number INS-2019-00031
• Teleconference with carriers to discuss ACA filing issues – March 28, 2019
  • 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
  • Virginia Rate Filing Template 

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