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Health Plan Management Toolkit and Filing Guidance


Important Notices:


As you know, the Department of Health and Human Services (HHS) has recently finalized the HHS Notice of Benefits and Payments Parameters for 2020 Rule and the 2020 Letter to Issuers.  As a result, ODI has finalized ACA compliant state filing deadlines.

These state filing deadlines apply to forms, rate, and binder filings (if applicable) for (1) student health plans, (2) both on-exchange and off-exchange major medical plans, and (3) both on-exchange and off-exchange certified Stand Alone Dental Plans (SADPs).
 

State filing deadlines are as follows:

    • March 27, 2019 - FORM and RATE filings for:
      • all Student Health Plans for the 2019/2020 school year.
    • April 29, 2019 - FORM filings for:
      • Individual and Small Group Health Plans (major medical).
      • This includes all amendments, endorsements, riders and new forms that will be used in 2020.
    • May 13, 2019 - BINDER filings (except rate data templates) for:
      • On-exchange Individual and Small Group major medical plans.
      • On-exchange and/or off-exchange certified Individual and Small Group SADPs.
      • Rate Data Templates must be submitted to Binder filings by the corresponding on-exchange Major Medical or SADP Rate Filing deadline.
    • May 20, 2019 - FORM and RATE filings and BINDER Rate Data Templates for:
      •  All SADPs that are on-exchange and/or off-exchange certified.
    • July 1, 2019 - RATE filings and BINDER Rate Data Templates for:
      • On-exchange Individual and Small Group major medical plans.
    • July 24, 2019 - RATE filings for:
      • Off-exchange ONLY Individual and Small Group major medical plans.
    • September 9, 2019 - FORM and RATE filings for:
      • Large Group major medical plans.

 

Filer Guidance and Resources:

Questions and Information:

  • Questions? The department welcomes your plan management questions. While we will not be responding to submitted questions one by one, we will post all questions and answers so all stakeholders are able to see the information. Send appropriate questions to planmanagementquestions@insurance.ohio.gov.
  • This page will be updated regularly.  If you would like to receive email notifications when an importan update is released, subscribe to our e-mail notifications.
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Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
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Mike DeWine, Governor | Jillian Froment, Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | Medicare Hotline: 800-686-1578