R590-220-10. Additional Procedures for Individual, Small Employer, and Group Health Benefit Plan Filings

(1) An insurer filing a health benefit plan filing shall comply with: (a) Title 31A, Chapter 30, Individual, Small Employer, and Group Health Insurance Act; (b) Title 31A, Chapter 45, Managed Care Organizations; (c) Rule R590-167; and (d) Rule R590-277. (2) Form Filing. (a) A non-2014 PPACA compliant health benefit plan form filing shall include the SERFF tracking number for the form's applicable rate manual filing. (b) A grandfathered or transitional plan shall be filed separate from a 2014 PPACA compliant health benefit plan. (3) Rate Manual Filing for a Non-2014 PPACA Compliant Health Benefit Plan. (a) A rate manual filing that does not request a change in rating methodology is a file before use filing. (b) A change in a rating methodology filing is a file for approval filing. (c) A new or revised rate manual shall: (i) include an actuarial certification signed by a qualified actuary; and (ii) be filed 30 days before use. (d) The company rate information on the rate/rule schedule tab shall be compliant. (4) Rate Filing for a 2014 PPACA Compliant Health Benefit Plan. (a) A rate filing shall be filed according to the department's annual bulletin to insurers. (b) Quarterly changes to a rate filing shall be filed according to Bulletin 2015-3.