Regulations and Guidance

Consumer Support and Information

External Appeals

Regulations

Guidance

Summary of Benefits and Coverage and Uniform Glossary

Regulations

 Guidance

Content Requirements for Plan Finder

Regulations

Guidance

Pre-Existing Condition Insurance Plan (PCIP)

Regulations

Guidance

Early Retiree Reinsurance Program (ERRP)

Regulations

Health Insurance Marketplaces

Regulations

Guidance

 

 

 

 

Plan Management

Regulations

Additional Information on State EHB Benchmark Plans

2014 Actuarial Value Calculator (XLSM – 1.4 MB) – Issuers should NOT use this calculator for 2015 plan designs*

2014 Actuarial Value Calculator Methodology (PDF - 214 KB)

*See below under Premium Stabilization/Regulations for 2015 Actuarial Value Calculator and Methodology

Minimum Value Calculator (XLSM – 598 KB)

Minimum Value Calculator Methodology (PDF - 154 KB)

Guidance

Minimum Acceptable Risk Standards

Guidance:

Premium Stabilization Programs

Regulations

Guidance

State Innovations

Regulations

Consumer Operated and Oriented Plan (CO-OP) Program

Regulations

Health Insurance Market Reforms

Regulations

 

Guidance

March 3, 2014
Extended Transition to Affordable Care Act-Compliant Policies [PDF, 147KB]

Annual Limits

Regulations

Guidance

Association Coverage

Guidance

Coverage for Young Adults

Regulations

Guidance

Employer Responsibility

Guidance

Grandfathered Plans

Regulations

Medical Loss Ratio

Regulations

Guidance

Patient's Bill of Rights

Regulations

Guidance

Prevention

Regulations

Guidance

Review of Insurance Rates

Regulations

Guidance

Student Health Plans

Regulations

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Guidance