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Rate & Form Filing Information

   
The submission deadline for ALL QHP plans (forms and binders) is May 22, 2017.  The rate filing deadline is June 26, 2017.  PLEASE NOTE: The Rate Data Template in the binder must be your best estimate of the 2018 rates before refining for June 26.  These plans include:

  1) QHP SERFF binder filings and associated SERFF filings for On or both On and Off Exchange
  2) Off Exchange only 
  3) Stand Alone Dental Plans, both On Exchange and Off Exchange Certified

Please contact Joylynn Fix at Joylynn.Fix@wv.gov if you have additional questions.

                                               FILING GUIDANCE FOR INDIVIDUAL AND SMALL EMPLOYER HEALTH

Plan Year 2018 guidance for filers of individual and small group health plans, for both ON and OFF the Federally Facilitated Marketplace. 

Pursuant to the implementation of the Patient Protection and Affordable Care Act (PPACA), the federal government mandated rules for the rating and review of health insurance.  As in previous years, the West Virginia Offices of the Insurance Commissioner will engage in “marketplace plan management”.

The following dates and corresponding actions relate to plan year 2018.

                                                                                          Date Action
 


May 22, 2017
Last day carriers are allowed to submit to Department. Whether ON-Marketplace or both ON and OFF-Marketplace, all carriers must submit their Plan binder(s) and templates in SERFF. Off Marketplace only do not need to complete binders. Carriers, On and Off, must have HIOS and Carrier ID numbers.                     

Please note that Small Group means 1-50.
June 21, 2017 Initial data transfer.
June 26, 2017 Rate Filings due.
August 21, 2017 Data is locked down.

      PUBLIC INFORMATION KIOSK

Located in room 717 of the West Virginia Offices of the Insurance Commissioner, 900 Pennsylvania Avenue, Charleston, WV. All public rate & form filings are available for viewing through the kiosk. The kiosk allows access to filings stored in the agency's imaging system as well filings stored with the National Association of Insurance Commissioners System for Electronic Rate & Form Filing (SERFF). Due to the limited availability of access via this single terminal, reservations are recommended and may be made up to 30 days in advance by calling (304)-558-2094.

No fee is associated with the use of the kiosk. However, copies of filings viewed at the kiosk may be requested and obtained for the appropriate fee.

 

 

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