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The Center for Consumer Information & Insurance Oversight


Qualified Health Plans

Qualified Health Plan Submission

CMS has released the Issuer Module, Benefits and Service Area Module, and Rating Module templates, including the plan and benefits template, for issuers to use in applying for certification to participate in the Federally-facilitated Exchanges and State Partnership Exchanges. The templates are available on the following websites:

QHP Application Instructions

A complete set of instructions for the 2015 plan year QHP Application are now available. They are located below in addition to the CMS zONE website at for States and Issuers. The instructions cover general QHP application instructions, including issuer module, benefits and service area module, rating module and justifications.  Note that stand-alone dental plan instructions and network adequacy instructions are forthcoming.

Other QHP Application Resources