Small Business Health Options Program Marketplace

[LOGO] MIKE CHANEY Commissioner of Insurance State Fire Marshal MARK HAIRE Deputy Commissioner of Insurance RICKY DAVIS State Chief Deputy Fire Marshal MISSISSIPPI INSURANCE DEPARTMENT 501 N. WEST STREET, SUITE 1001 WOOLFOLK BUILDING JACKSON, MISSISSIPPI 39201 www.mid.ms.gov MAILING ADDRESS Post Office Box 79 Jackson, Mississippi 39205-0079 TELEPHONE: (601) 359-3569 FAX: (601) 359-2474 ## MISSISSIPPI INSURANCE DEPARTMENT BULLETIN 2016 - 3 ## NOTIFICATION OF THE UPCOMING APPLICATION FOR PARTICIPATION IN MISSISSIPPI'S STATE-BASED SMALL BUSINESS HEALTH OPTIONS PROGRAM MARKETPLACE March 31, 2016 ### I. Purpose The purpose of this Bulletin is to: (1) advise carriers of the opportunity to offer Qualified Health Plans ("QHPs") and Stand-Alone Dental Plans ("SADPs") on Mississippi's State-based Small Business Health Options Program ("SHOP") Marketplace, called ONE, MISSISSIPPI™, and (2) to provide a broad overview of the participation requirements. The Comprehensive Health Insurance Risk Pool Association, a nonprofit legal entity created by the Mississippi Legislature, operates ONE, MISSISSIPPI. The Marketplace offers small employers options to offer health insurance plans and stand-alone dental plans to their employees. ONE, MISSISSIPPI is a free-market small business Marketplace independent of the Federally-Facilitated Marketplace currently operating for the individual market. Open enrollment is ongoing for ONE, MISSISSIPPI, meaning that a carrier may submit an application to offer products on ONE, MISSISSIPPI throughout the year. The effective coverage date will vary based on the submission date and the carrier's completion of other required actions. For coverage to begin on January 1, 2017, a carrier must meet the timeline identified below. ### II. Participation Carriers desiring to offer QHPs or SADPs must have those plans or products certified by the Mississippi Insurance Department ("MID") as meeting all standards required by law. To apply for certification, carriers must follow the standard filing requirements found at: http://www.mid.ms.gov/healthcare/rate-filing-information.aspx, in addition to meeting the Federally-mandated certification standards for plans offered on a SHOP. Finally, participating carriers must execute contractual agreements with ONE, MISSISSIPPI. # Qualified Health Plans and Stand-Alone Dental Plans MID will evaluate each proposed health plan or stand-alone dental plan to be offered through ONE, MISSISSIPPI to ensure that it meets certification standards. To be certified as a QHP, each health plan must be submitted to MID using the 2017 Federal QHP templates via the System for Electronic Rate and Form Filing ("SERFF") for review and approval. Carriers interested in offering plans or products through ONE, MISSISSIPPI with an effective coverage date of January 1, 2017, must submit a letter of intent to MID. Please indicate in the letter the carrier's name, a contact person, his or her contact information, and the proposed type of product to be offered on ONE, MISSISSIPPI. Carriers seeking to offer coverage with an effective date of January 1, 2017 must file the required templates in SERFF no later than May 11, 2016. A full timeline corresponding to required actions is available from MID upon request. For coverage effective dates after January 1, 2017, carriers should allow approximately four months prior to the desired open enrollment date to complete all necessary actions. Please contact MID to obtain additional details about the process. ### III. Contact MID will post detailed information regarding participation on the following websites: - ONE, MISSISSIPPI's website: https://www.onemississippi.com/ - MID's website: http://www.mid.ms.gov/healthcare/health-care.aspx To better assist carriers through this process, MID requests all carriers interested in offering products on ONE, MISSISSIPPI send an e-mail to express their interest to MSShopInfo@mid.ms.gov. Issued this the 31st day of March, 2016. MIKE CHANEY COMMISSIONER OF INSURANCE