Plan Year 2027 ACA Individual and Small Group Rate Filing Requirements and Submission Timeline

♦INSURANCE.DELAWARE.GOV♦ 1351 W. NORTH ST., SUITE 101, DOVER, DELAWARE 19904-2465 (302) 674-7300 DOVER♦ (302) 259-7554 GEORGETOWN♦ (302) 577-5280 WILMINGTON TRINIDAD NAVARRO COMMISSIONER STATE OF DELAWARE DEPARTMENT OF INSURANCE DOMESTIC AND FOREIGN INSURERS BULLETIN NO. 166 TO: INSURERS, HEALTH SERVICE CORPORATIONS, AND MANAGED CARE ORGANIZATIONS THAT DELIVER OR ISSUE FOR DELIVERY IN THIS STATE INDIVIDUAL AND GROUP INSURANCE POLICIES OR PLANS SUBJECT TO REGULATION UNDER TITLE 18 OF THE DELAWARE CODE RE: PLAN YEAR 2027 ACA INDIVIDUAL AND SMALL GROUP RATE FILING REQUIREMENTS AND SUBMISSION TIMELINE DATED: June 11, 2026 The purpose of this Bulletin is to inform carriers of the filing timelines and requirements applicable to Qualified Health Plans (QHPs) and Small Group health benefit plans offered in Delaware for Plan Year 2027 (PY2027). For PY2027, carriers offering Individual and Small Group Affordable Care Act (ACA)- compliant health benefit plans must submit proposed rate filings to the Delaware Department of Insurance no later than June 15, 2026. The comprehensive Delaware Submission Timeline for Plan Year 2027 is provided at the end of this Bulletin. Carriers shall submit a single rate filing using the Unified Rate Review Template (URRT) and provide all required supporting documentation as follows: 1. Actuarial Memorandum: • Each rate filing must include an actuarial memorandum that clearly describes the methodology used to develop the proposed rates. • The actuarial memorandum must identify and support all material assumptions used in developing the proposed rates. • Any changes in methodology, assumptions, or rating factors from the prior plan year must be clearly identified and explained. 2. Documentation and Filing Process • All URRTs, actuarial memoranda, and supporting documentation must be submitted through the System for Electronic Rate and Form Filing (SERFF). • Filings must be complete upon submission and include all information necessary for the Department’s review. • Carriers shall promptly respond to requests for additional information from the Department during the rate review process. • Carriers must demonstrate that the proposed rates comply with all applicable state and federal requirements. Questions Questions concerning this Bulletin should be directed to rate@delaware.gov. SERFF-related inquiries should be submitted to the SERFF Help Desk at serffhelp@naic.org. This Bulletin shall be effective immediately and shall remain in effect unless withdrawn or superseded by subsequent law, regulation, or bulletin. ______________________________________ Trinidad Navarro Delaware Insurance Commissioner . [The remainder of this page has been intentionally left blank] NOTE: This Bulletin is intended solely for informational purposes. It is not intended to set forth legal rights, duties, or privileges, nor is it intended to provide legal advice. Readers should consult applicable statutes and rules and contact the Delaware Department of Insurance if additional information is needed Category Activity Dates QHP Certification QHP Application Submission and data validation window opens 4/15/2026 QHP Certification Initial Application Deadline for issuers to submit QHP Applications/ Binders to CMS via SERFF, including Plan ID Crosswalk data 6/10/2026 QHP Certification CMS reviews initial QHP Applications and releases results for issuers and states to review 6/11/2026 – 7/10/2026 Rate Review State (DE) requested deadline for issuers in states with an Effective Rate Review Program to submit PROPOSED rate filing justifications to CMS and the State (DE) 6/15/2026 QHP Certification Secondary Application Deadline: Deadline for issuers to submit their QHP Application Rates Table Templates to CMS; optional deadline for issuers to submit corrected QHP Application data to CMS 7/15/2026 Rate Review Deadline for states with an Effective Rate Review Program to post proposed rate increases subject to review (or link to ratereview.healthcare.gov for such information) 7/31/2026 QHP Certification Final Application Deadline: Deadline for issuers to submit changes to their QHP Applications 8/12/2026 Rate Review Deadline for Effective Rate Review states with Exchanges served by Healthcare.gov platform to finalize determinations for rate filing justifications that include a QHP 8/12/2026 Form Review Deadline for QHP forms to be finalized 8/12/2026 QHP Certification CMS reviews QHP Applications and releases results for insurers and states to review 8/13/2026 – 9/8/2026 QHP Certification State Plan Confirmation Deadline: States complete final plan confirmation 9/8/2026 – 9/16/2026 QHP Certification CMS releases certification notices to issuers and states 9/29/2026 – 9/30/2026 Rate Review Deadline for Effective Rate Review states to finalize rate filing justifications that contain only non-QHPs/OFF Marketplace 10/15/2026 Form Review Deadline for non-QHP/OFF Marketplace forms to be finalized 10/15/2026 Rate Review Target date on which CMS will post all final rate changes 10/20/2026 QHP Certification Anticipated public display of QYP quality rating information 11/1/2026 Form Review Deadline for non-QHP URLs to be live and active 11/1/2026 QHP Certification Open Enrollment begins 11/1/2026 Delaware Submission Timeline for Plan Year 2027