The following guidance provides content along with filing requirements and processes for ACA compliant student blanket 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 has developed filing guidance to assist in the development and submission of form filings. The guidance provides detailed filing instructions and information about product design and document development. Please review the guidance carefully. Following the instructions provided in the guidance will ensure that department staff can review form filings in a timely manner. Department staff are always available to discuss and answer questions.
- Form filings are to include a fully completed form filing checklist, Essential Health Benefit (EHB) Locator Worksheet, EHB Rx Worksheet, and Flesch Score certification. These documents are provided in SERFF and can also be accessed through the links below.
- The form filing checklist documents the location of selected state and federal requirements within the forms. The checklist is not exhaustive; review of all applicable law is required.
- ACA Compliant Student Blanket Health Insurance Plans - Updated for 2020/2021 school year.
- ACA Compliant Form Filing Resources
- Ohio Essential Health Benefits
- Ohio Benchmark Plans
- Medical - Community Insurance Company (Anthem BCBS) - Blue Access PPO - Standard Opt D55
- Pediatric Dental - MetLife Federal Dental Plan - High Option
- Pediatric Vision - FEP Blue Vision - High Option
- Habilitative Services - Governor's Habilitatitive Services Letter
- Prescription Drug EHB Reference - Benchmark Plan Rx Listing by category and class
- EHB Rx Crosswalk - (PY 2020 version)