Regulations and Guidance


Affordable Care Act

Guidance

Consumer Support and Information

External Appeals

Regulations

Guidance

Summary of Benefits and Coverage and Uniform Glossary

Regulations

 Guidance

December 2014 Proposed Supporting Materials for Public Comment

Content Requirements for Plan Finder

Regulations

Guidance

Pre-Existing Condition Insurance Plan (PCIP)

Regulations

Guidance

Early Retiree Reinsurance Program (ERRP)

Regulations

Guidance

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 or 2016 plan designs*

2014 Actuarial Value Calculator Methodology (PDF - 214 KB)

*See below under Premium Stabilization/Regulations for 2015 Actuarial Value Calculator and Methodology and 2016 and 2017 Actuarial Value Calculator and Methodologies are under the Guidance portion of this section.

Minimum Value Calculator (XLSM – 598 KB)

Minimum Value Calculator Methodology (PDF - 154 KB)

Guidance

Eligibility Appeals

Guidance

Minimum Acceptable Risk Standards

Guidance:

Premium Stabilization Programs

Regulations

Guidance