The following guidance provides content and filing requirements and processes for student health plans. This guidance is not exhaustive. Health plan issuers are responsible to review and comply with all applicable state and federal law.
The department will continue to monitor the policy changes being discussed and considered in Washington which may lead to changes or otherwise impact the timelines that HHS has released. Based on that as well as the likelihood of new guidance from HHS, the department may provide additional flexibility or updated guidance to Ohio carriers in the coming weeks and months to accommodate potential changes that become necessary.
- March 13, 2017 - Student Health Plan Forms
- March 27, 2017 - Student Health Plan Rates
Guidance and Information:
The following information assists insurers with the development and filing of their filings. Ohio provides indemnity insurers with the option of offering student health insurance coverage using either blanket or non-blanket policies. Please note that there are differences in regulatory requirements applicable to blanket versus non-blanket policies. Health Insurance Corporations (HICs) can file non-blanket student health insurance policies.
The department has developed manuals to assist in the development and filing of forms. These manual provide detailed filing instructions and information about product design and document development; please review the applicable manual carefully. Following the instructions provided in the manual will ensure that department staff can review all filings in a timely manner. Should filers have questions, department staff are available to discuss and answer questions.
Form filings are to include a fully completed form checklist, Essential Health Benefit (EHB) Locator, EHB Rx Worksheet, and Flesch Score certification. These documents are provided through SERFF and can be accessed through the links below.
The form checklist documents the location of selected state and federal requirements within the forms. It is not exhaustive, and review of all applicable law is required. there are three versions of the checklist. Filers should use the one that pertains to the type of policy being filed (blanket vs. non-blanket).
- Student health insurance plans sold through non-blanket policies
Form Filing Resources: