Letters

• Consumer Support and Information
  • Consumer Assistance Program Grants
  • External Appeals
  • Summary of Benefits and Coverage and Uniform Glossary
• Content Requirements for Healthcare.gov
• Pre-Existing Condition Insurance Plan (PCIP)
• Affordable Insurance Exchanges 
  • Planning and Establishment Grants   
  • Early Innovator Grants
  • Information Technology Systems
• State Innovations
• Health Insurance Market Reforms
  • Annual Limits 
  • Coverage for Young Adults
  • Grandfathered Plans
  • Medical Loss Ratio
  • Review of Insurance Rates
  • Student Health Plans

Consumer Support and Information

Consumer Assistance Program Grants 

News Releases

• July 22, 2010
  Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care - Opens in a new window
• October 19, 2010
  New Affordable Care Act Rules Help Consumers Better Understand and Compare Benefits and Coverage - Opens in a new window

External Appeals 

News Releases

• July 22, 2010
  Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care - Opens in a new window

Summary of Benefits and Coverage and Uniform Glossary

News Releases

• August 17, 2011
  New Affordable Care Act Rules Help Consumers Better Understand and Compare Benefits and Coverage

Content Requirements for Healthcare.gov 

Letters

• May 3, 2010
  HHS Letter to Issuers of Private Individual and Small Group Market Insurance Regarding User Access and Authorization for the Health Insurance Oversight System
• May 6, 2010
  HHS Letter to States Regarding State Data Submission for the Health Insurance Oversight System (PDF – 110 KB)
• July 9, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 145 KB)
• August 10, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 53 KB)
• August 20, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 149 KB)
• August 31, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 36 KB)
• September 2, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates I (PDF – 62 KB)
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates II (PDF – 30 KB)
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates III (PDF – 32 KB)
• September 8, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 30 KB)
• September 13, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 204 KB)
• September 14, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 31 KB)
• September 15, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 75 KB)
• September 16, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 42 KB)
• September 22, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 30 KB)
• September 23, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 33 KB)
• September 24, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 95 KB)
• September 30, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 58 KB)
• October 28, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 266 KB)
• November 30, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 122 KB)
• December 10, 2010
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 80 KB)
• December 22, 2010
  HHS Letter to Issuers of Health Insurance Regarding Provider Network Links (PDF – 32 KB)
  HHS Letter to Issuers of Health Insurance Regarding Brochure Links (PDF – 32 KB)
  HHS Letter to Issuers of Health Insurance Regarding Formulary Links (PDF – 32 KB)
• January 12, 2011
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 198 KB)
• January 19, 2011
  HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 147 KB)
• February 15, 2011
  HHS Letter to Issuers of Health Insurance Regarding Provider Network Links (PDF – 129 KB)
  HHS Letter to Issuers of Health Insurance Regarding Brochure Links (PDF – 130 KB)
  HHS Letter to Issuers of Health Insurance Regarding Formulary Links (PDF – 129 KB)
• April 12, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 230 KB)
• May 2, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 65 KB)
• June 2, 2011
  Pre-disclosure Notification: FOIA Request for Source Data - http://finder.healthcare.gov - Memo (PDF – 99 KB)
  Attachment 1 (PDF – 141 KB)
  Attachment 2 (PDF – 157 KB)
• June 9, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 39 KB)
• July 13, 2011
  HHS/CCIIO Letter to Issuers Regarding Web Statistics (PDF – 41 KB)
• July 26, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 65 KB)
• August 11, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 40 KB)
• August 18, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB)
• August 31, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB)
• September 16, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 86 KB)
• September 27, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 65 KB)
• September 30, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 51 KB)
• October 12, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 57 KB)
• October 17, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB)
• November 21, 2011
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates  (PDF – 178 KB)
• January 6, 2012
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 202 KB)
• Feb 27, 2012
  Individual/Family Market RBIS Template Changes (PDF – 62 KB)
• March 1, 2012
  HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 63 KB)
• April 2, 2012
  Changes to HIOS/RBIS Data Collection Windows (PDF – 40 KB)
• April 20, 2012
  HIOS Small Group Open Window (PDF – 45 KB)
• May 22, 2012
  Changes to June 11, 2012 Collection Window; Training Postponed (PDF – 51 KB)
• June 15, 2012
  RBIS Training on Combined Window (PDF – 45 KB)
• June 26, 2012
  Summary of Benefits and Coverage Links (PDF – 35 KB)
• June 27, 2012
  Optional IFP Submission Window (PDF – 32 KB)
• July 19, 2012
  Individual/Family Market RBIS Open Window Dates (PDF – 51 KB)
• August 20, 2012
  August 27 Combined HIOB/RBIS Window (PDF – 46 KB)
• September 28, 2012
  Summary of Benefits and Coverage (SBCs) Without Coverage Example Data (PDF - 118 KB)
• December 19, 2012
  Rate/Plan Expiration and 2013 Combined Window Schedule (PDF - 80 KB)

Persons using assistive technology may not be able to fully access information in this file. For assistance, please email HealthInsurance@hhs.gov.

Pre-Existing Condition Insurance Plan (PCIP)

Letters

• May 10, 2010
  Cover letter on State High-Risk Pool program (PDF – 24KB)

Affordable Insurance Exchanges

Letters

• November 12, 2010
  HHS Letter to Tribal Leader on Tribal Consultation (PDF – 30 KB)
• November 18, 2010
  HHS Letter to Governor Gregoire, Commissioner Cline and Senator Moore Regarding Initial Guidance of Health Insurance Exchanges (PDF – 88 KB)
• August 10, 2011
  Tri-Agency Letter Addressing Cost Allocation for Medicaid, CHIP, the Exchange, and Other Human Services Programs (PDF - 189 KB)
• January 23, 2012
  Tri -Agency Letter Providing Additional Guidance on Cost Allocation for Medicaid, CHIP, the Exchange, and Other Human Services Programs (PDF - 201 KB)
• May 16, 2012
  HHS Letter to Governors on Affordable Insurance Exchange Guidance (PDF - 31 KB)
• November 9, 2012
  HHS Letter to Governors on Exchange Blueprint Submission (PDF - 82 KB)
• November 16, 2012
  State Letters on Exchanges
• December 10, 2012
  Letter to CO Governor on Conditional Approval to Establish a State-based Exchange (PDF – 53 KB)
  Letter to CT Governor on Conditional Approval to Establish a State-based Exchange (PDF – 53 KB)
  Letter to MD Governor on Conditional Approval to Establish a State-based Exchange (PDF – 54 KB)
  Letter to MA Governor on Conditional Approval to Establish a State-based Exchange (PDF – 53 KB)
  Letter to OR Governor on Conditional Approval to Establish a State-based Exchange (PDF – 52 KB)
  Letter to WA Governor on Conditional Approval to Establish a State-based Exchange (PDF – 54 KB)
• December 10, 2012
  Letter to Governors on Exchanges, Market Reforms and Medicaid Frequently Asked Questions (PDF – 72 KB)
• December 10, 2012
  Letter to Governors on Information for Territories Regarding the Affordable Care Act (PDF – 532 KB)
• December 14, 2012
  Letter to DC on Conditional Approval to Establish a State-based Exchange (PDF – 55 KB)
  Letter to KY Governor on Conditional Approval to Establish a State-based Exchange (PDF – 52 KB)
  Letter to NY Governor on Conditional Approval to Establish a State-based Exchange (PDF – 50 KB)
• December 20, 2012
  Letter to DE on Conditional Approval to Establish a State Partnership Exchange (PDF – 53 KB)
  Letter to MN on Conditional Approval to Establish a State-based Exchange (PDF – 44 KB)
  Letter to RI on Conditional Approval to Establish a State-based Exchange (PDF – 55 KB)
• January 3, 2013
  Letter to AR on Conditional Approval to Establish a State Partnership Exchange (PDF –71 KB)
  Letter to CA on Conditional Approval to Establish a State-based Exchange (PDF – 56 KB)
  Letter to HI on Conditional Approval to Establish a State-based Exchange (PDF – 77 KB)
  Letter to ID on Conditional Approval to Establish a State-based Exchange (PDF – 69 KB)
  Letter to NV on Conditional Approval to Establish a State-based Exchange (PDF – 59 KB)
  Letter to NM on Conditional Approval to Establish a State-based Exchange (PDF – 64 KB)
  Letter to UT on Conditional Approval to Establish a State-based Exchange (PDF –75 KB)
  Letter to VT on Conditional Approval to Establish a State-based Exchange (PDF – 69 KB)
• February 8, 2013
  Letter to Mississippi regarding Marketplace (PDF - 192 KB)
• February 13, 2013
  Letter to Illinois regarding Conditional Approval of Partnership Marketplace (PDF - 80 KB)
• March 7, 2013
  Letter to Iowa regarding Conditional Approval of Partnership Marketplace (PDF - 47 KB)
  Letter to Michigan regarding Conditional Approval of Partnership Marketplace (PDF - 58 KB)
  Letter to New Hampshire regarding Conditional Approval of Partnership Marketplace (PDF - 50 KB)
  Letter to West Virginia regarding Conditional Approval of Partnership Marketplace (PDF - 50 KB)
• May 10, 2013
  Letter to Utah regarding Small Business Health Options Program  (PDF - 276 KB)
• May 13, 2013
  Letter to Essential Community Providers  (PDF – 99 KB)
  

Note: People using assistive technology may not be able to fully access information in these files.
          For assistance, please email healthcareweb@hhs.gov.

Planning and Establishment Grants

News Releases

• July 29, 2010
  HHS Announces Availability of $51 Million in Resources for States to Build New Competitive Health Insurance Marketplace - Opens in a new window
• January 20, 2011
  HHS Announces New Resources to Help States Implement Affordable Care Act: States continue to move forward, have new support to implement Health Insurance Exchanges - Opens in a new window
• July 11, 2011
  HHS and states move to establish Affordable Insurance Exchanges, give Americans the same insurance choices as members of Congress - Opens in a new window
• August 12, 2011
  HHS, Treasury take new steps to help states build Affordable Insurance Exchanges - Opens in a new window

Early Innovator Grants

News Releases

• October 29, 2010
  HHS Announces New Competitive “Early Innovator” Grants for States that Lead the Race to Develop IT Systems for State Exchanges - Opens in a new window
• February 16, 2011
  States Leading the Way on Implementation: HHS Awards “Early Innovator” Grants to Seven States - Opens in a new window

Information Technology Systems

Letters

• November 3, 2010
  Cover Memo: To States from OCIIO and CMS on IT for Exchanges and Medicaid - Opens in a new window

News Releases

• November 3, 2010
  HHS announces new federal support for states to develop and upgrade Medicaid IT systems and systems for enrollment in state exchanges - Opens in a new window

State Innovations

News Releases

• March 10, 2011
  Obama Administration Takes New Steps to Support Innovation, Empower States - Opens in a new window

Health Market Reforms

Annual Limits

Letters

• December 9, 2010
  Letter from HHS Secretary Kathleen Sebelius to Consumer Groups Regarding Supplemental Guidance on Consumer Notices and Sale of New Business (PDF – 161 KB) - Opens in a new window

News Releases

• December 9, 2010
  Affordable Care Act increases transparency for consumers in “mini-med” plans - Opens in a new window

Coverage for Young Adults

Letters

• September 24, 2010
  Letter from Secretary Sebelius to America’s Health Insurance Plans Regarding Children’s Access to Health Insurance (PDF – 234 KB)
  Letter from Secretary Sebelius to Blue Cross and Blue Shield Association Regarding Children’s Access to Health Insurance (PDF – 255 KB)
• October 13, 2010
  Letter from Secretary Sebelius to Jane L. Cline Regarding Child-Only Policies (PDF – 214 KB)

Grandfathered Plans

Letters

• April 12, 2010
  HHS Secretary Sebelius letter to the National Association of Insurance Commissioners (NAIC) Requesting Guidance by June 1, 2010 - Opens in a new window

Medical Loss Ratio

Letters

• April 12, 2010
  Summary Statement – Secretarial Correspondence Regarding NAIC - Opens in a new window

News Releases

• November 22, 2010
  New Affordable Care Act rule give consumers better value for insurance premiums - Opens in a new window

Review of Insurance Rates

Letters

• June 7, 2010
  HHS Secretary Sebelius Letter to Governors and State Insurance Commissioners Announcing the Availability of the First Round of Health Insurance Premium Review Grants (PDF – 23 KB)
• October 18, 2010
  HHS/OCIIO Letter to Connecticut Insurance Department on Anthem Insurance Company’s Premium Rate Increase (PDF – 45 KB)
• December 21, 2010
  HHS Secretary Sebelius Letter to Insurance Commissioners Regarding Premium Rate Review

News Releases

• August 16, 2010
  $46 Million in Grants to Help States Crack Down on Unreasonable Health Insurance Premium Hikes - Opens in a new window
• December 21, 2010
  New Affordable Care Act rules shed light on high health insurance rate hikes - Opens in a new window
• February 24, 2011
  States Can Apply for Nearly $200 Million to Help Fight Health Premium Increases - Opens in a new window
• May 19, 2011
  Affordable Care Act helps fight unreasonable health insurance premium increases - Opens in a new window

Student Health Plans

News Releases

• February 9, 2011
  New Rule Ensures Students Get Health Insurance Protections of the Affordable Care Act - Opens in a new window