2023 Affordable Care Act (ACA) For Issuers

IDOI Company Bulletin 2022-07 - All Companies Writing Accident and Health Insurance and Manage Care Plans in Illinois
COMPANY BULLETIN  2022-07 - ILLINOIS FILING REQUIREMENTS FOR INDIVIDUAL AND SMALL GROUP HELATH PLANS, ON AND OFF-MARKETPLACE (ON AND OFF-EXCHANGE) AND STAND-ALONE DENTAL PLANS

NEW FOR 2023 - All off-exchange only plans must also be submitted in a plan binder with completed templates for consideration to sell plans for the 2023 QHP Plan Year.  Please mark the Standard Component IDs (SCIDs) associated with the off-exchange only plans as “off” in the binder.  Plan management fees will not be required for off-exchange only Standard Component IDs.

• 2023 ACA Individual HMO POS Catastrophic

• 2023 ACA Individual PPO Catastrophic

• 2023 ACA Small Group HMO POS

• 2023 ACA Small Group PPO

• 2023 ACA Student Health Checklist

• ACA Individual & Small Group Stand alone Dental Checklist

• Network Adequacy Transparency Checklist

• Checklist for Carrier External Review Notices 

• Certification of Compliance
• Health Premium Rates Checklist
• Letter of Submission Template
• Mental Health Parity Supporting Documentation Template
• Network Adequacy Transparency Checklist
• Illinois Network Adequacy (Tiered) Collection Template (Excel Document)
• Network Adequacy Exemption Form
  
• Network Adequacy County Facilities Excel Document (.xls)
• Proposed Enrollment Template
  
• Service Area Exceptions

REFERENCES

• QHP Certification Checklist

• Illinois ACA Benchmark Plan

• Illinois Benchmark Summary

• Illinois Dental Benchmark Plan

• Illinois General Assembly

• Illinois Administrative Code

• United States Code

• Code of Federal Regulations

• U.S. Preventive Services Task Force