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Health Plan Management Toolkit and Filing Guidance

Important Notices

  • New! The submission deadline for 2019 PY Large Group health plan filing is September 10, 2018.
  • Update! Ohio filing deadlines for 2019 EHB Complaint Health Plans and 2018/2019 Student Health Plans are listed below.

The Ohio Department of Insurance (ODI) has received questions regarding the deadlines for form, rate, and QHP binder filings that support teh 2019 EHB complaint plans as well as the 2018/2019 school year student health plans. The Department of Health and Human Services (HHS) finalized the HHS Notice of Benefits and Payment Parameters for 2019 Rule, the 2019 Letter to Issuers and the Rate Review Timelines - 2019. In order to meet the deadlines HHS has indicated for plan data submission, ODI is releasing the following state filing deadlines.

Similar to last year, ODI may provide additional flexibility or updated guidance to Ohio carriers to accommodate potential changes that become necessary.

These state filing deadlines apply to form, 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).

Deadlines

    • March 28, 2018 - FORM and RATE filings for:
      • all Student Health Plans for the 2018/2019 school year.
    • April 30, 2018 - FORM filings for: NEW! SEE NEW SADP DEADLINE BELOW!
      • Individual and Small Group Health Plans (major medical) for the 2019 plan year.
    • May 14, 2097 - BINDER filings (except rate data templates) for:
      • On-exchange Individual and Small Group major medical plans for the 2019 plan year.
      • On-exchange and/or off-exchange certified Individual and Small Group SADPs for the 2019 plan year.
      • Rate Data Templates must be submitted to Binder filings by the corresponding on-exchange Major Medical or SADP Rate Filing deadline.
    • May 21, 2018 NEW! - FORM and RATE filings for all SADPs and certified SADP Binder Rate Data Templates for the 2019 plan year.
    • June 15, 2018 - RATE filings  and major medical on-exchange Binder Rate Data Templates for:
      • On-exchange Individual and Small Group major medical plans for the 2019 plan year.
    • July 25, 2018 NEW! - RATE filings for off-exchange ONLY Individual and Small Group major medical plans for the 2019 plan year.


Guidance


Questions and Information


Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
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John Kasich, Governor | Jillian Froment, Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | Medicare Hotline: 800-686-1578