Product Filing Rules and Guidance for Carriers

Guidance, Templates and Checklists

• 2023 QHP Form and Rate Combined Checklist Final
• NM Rate Filing Template
• 2023 SADP Form and Rate Combined Checklist
• 2023 SADP Issuer Form Guidance
• 2023PY QHP Issuer Rate Guidance
• 2023PY QHP Issuer Submission Guidance
• 2023PY SADP Issuer Rate Guidance
• FAQ and Updates to 2023PY QHP and SADP Submission Guidelines and Checklists

• Supplemental SOPA template (Updated 6/7/22)

QHP Miscellaneous Forms

• Data Change Request form
• Supplemental Data Change Request form

Standardized Language

• Exchange Renewal Letter – Different Product
• Exchange Renewal Letter – Same Product
• Group Major Medical Market Exit Notice Template – Employer
• Group Major Medical Market Exit Notice Template – Employee
• Individual Major Medical Market Exit Notice Template
• Standardized Language – Prior Authorization
• Standardized Language – Out-of-Network Care
• Standardized Language – Contraceptive Coverage
• Standardized Language – PrEP Coverage