Filing Requirements - Individual Health

Portability/Health Benefit Plan

1. NAIC Transmittal Form, instructions, and Product Code matrices for completing transmittal forms
2. Instructions for the Filing Description on the Transmittal (cover letter)
3. Certificate of Compliance: Word,   PDF
4. Product standards:
   • Form filings: Word,  PDF
   • Rate filings: Word,  PDF
5. Readability Certification
6. Rate Filing Summary (Plain Language Statement)
   • New Plans: Exhibit 1
   • Revised Plans: Exhibit 2
7. Consumer Disclosure Form
8. Actuarial Demonstration (See Product Standards)– Attachment I:   Word,   PDF
9. Benefit Designs (prevailing / low cost)

Portability Rate Review

CMS has determined that portability plans are subject to federal rate review as individual policies and carriers must file the preliminary justification when requesting increases of 10% or more.