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Bureau of Insurance

Health Insurance - Rate and Form Filing Information for Implementation of the Patient Protection and Affordable Care Act Provisions

Chapters 670, 679, and 751, Acts of Assembly, establish a number of new requirements applicable to health insurance coverage issued in Virginia. Among other things, these bills conform Virginia law to the 2014 provisions addressed in the Patient Protection and Affordable Care Act (PPACA), also referred to as the Affordable Care Act (ACA); require the review and approval of premium rates applicable to many health insurance products; and require the Bureau of Insurance, with the assistance of the Virginia Department of Health, to perform plan management functions for the federal health benefits exchange in Virginia.

The Bureau created this webpage to assist insurers as they prepare their product filings to comply with these new requirements. This webpage includes general guidance information. Please see the NAIC Product Checklists page to download applicable product-specific form review checklists, the Essential Health Benefits checklist, and the Rate Review checklist. General Filing Instructions and Plan Management General Instructions may be found in SERFF. A timeline of BOI Plan Management and general review activities in Virginia for health insurance plans will be posted to: http://www.scc.virginia.gov/boi/co/health/index.aspx

To receive alerts each time the webpage is updated, enter your e-mail address at the envelope icon envelope icon in the upper right corner of this page. We strongly encourage all carriers and interested parties to consult this webpage often and regularly to promote complete and accurate submissions, facilitating their timely review.

Guidance Information:

Advisories: Bureau of Insurance Statement on Health Plan Renewals (11/20/2013)
Bureau of Insurance Statement on Further Extension of Individual and Small Group Health Insurance Plans (3/07/2014)
Bureau of Insurance Letter to All Carriers Who Offered the Option to Policyholders to Extend their 2013 Health Insurance Coverage into 2014 (6/6/2014)
Bureau of Insurance Statement Concerning Policy Renewals and Discontinuances (10/02/2014) NEW!
  1. Essential Health Benefits (EHBs)
  2. Premium Rate Review Requirements
  3. Upcoming Filing Deadlines
    The Bureau will extend the May 1, 2014 deadline referenced in information previously provided to carriers (see links below) to May 9, 2014

Workshops and Meetings:

If you have any questions regarding any information on this page or in any of the attachments, please contact us at ACAFilingInfo@scc.virginia.gov

Last Updated:   October 09, 2014 8:30 AM