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ACA Plan Management Toolkit

New! Update Regarding PY 2023 QHP Binder Filing Deadline

The Ohio Department of Insurance (ODI) has received questions regarding extension of the PY 2023 deadline for QHP/SADP Binder filings.

CMS has posted the final Plan Year 2023 Notice of Benefits and Payment Parameters and the Letter to Issuers along with final QHP Certification application materials.  The SERFF portal is also open for Binder submissions.  CMS has not extended PY 2023 QHP Certification application submission deadlines.

ODI is adjusting the Binder submission deadline to May 12, 2022.  This extension will give issuers more time to complete their PY 2023 Binder submissions while allowing ODI necessary time for review to meet the CMS Early Bird transfer deadline at 1 pm ET on May 18, 2022.

All other PY 2023 EHB compliant filing deadlines have not changed.

Please send any questions to Plan.ManagementQuestions@insurance.ohio.gov.

PY 2023 State Filing Deadlines

The Ohio Department of Insurance (ODI) has finalized the deadlines for form, rate, and QHP Binder filings that support the 2023 EHB compliant plans as well as the 2022/2023 school year student health plans.

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).

The final state filing deadlines are as follows

  • February 28
    • All student health plan form filings
  • March 21
    • All student health plan rate filings
  • April 27
    • All individual and small group, major medical form filings.  This includes all amendments, endorsements, riders and new forms that will be used in 2023.
  • May 4 May 12
    • All binder submissions for on-exchange major medical plans and SADPs that are on-exchange and/or off-exchange certified
  • May 16
    • All SADPs that are on-exchange and/or off-exchange certified form and rate filings and finalized SADP Binder Rate Data Templates
  • June 27
    • All individual and small group, on-exchange, major medical rate filings and Major Medical Binder Rate Data Templates
  • July 15
    • All individual and small group, off-exchange, major medical rate filings
  • August 31
    • All large group, major medical form and rate filings

Please send any questions to Plan.ManagementQuestions@insurance.ohio.gov.

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 Plan.ManagementQuestions@insurance.ohio.gov
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