DEL INS Qualified Health Plan Rate Filing

Published on: Mar 24, 2025

On Mar. 18, DEL INS issued bulletin on filing requirements, deadlines.

  • DEL INS issued bulletin on qualified health plan (QHP) rate filing, submission timeline.
  • Follows Aug. 2022 DEL INS bulletin on rate filing correction window, see #145964.
  • 2026 Qualified Health Plan Rate Filing
  • Required insurers to submit 2 sets of rate filings in Unified rate review template for 2026 given American rescue plan act only extended through Dec. 31, 2025, #144459.
  • American rescue plan act (ARPA) increased refundable tax credit rate, provided tax credits for certain low-income taxpayers enrolled in qualified health plans, #100067.
  • Included one set of rates that exclude assumption that ARPA premium tax credits will extend beyond Dec. 31, 2025, another set assuming extension through Dec. 31, 2026.
  • Each filing must include actuarial memorandum that outlines methodology used for modifying rates under each scenario, must identify each assumption subject to change
  • Unified rate review templates (URRTs), supporting documentation must be submitted through system for electronic rate and form filing (SERFF); provided filing process.
  • The bulletin also provides the submission timeline and deadlines for plan year 2026.
  • Important Dates
  • QHP PY26 application submission and data validation window opens on Apr. 16, 2025.
  • Initial deadline for issuers to submit QHP applications to CMS on Jun. 11, 2025.
  • Deadline for QHP PY26 proposed rates to be submitted through SERFF on Jul. 2, 2025.
Regulators
DEL INS
Entity Types
Ins
Reference
Bul 149, 3/18/2025;
Functions
Claims/Accelerated Benefits; Compliance; Financial; Legal; Operations; Product Administration; Reporting; Risk
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Mar 18, 2025
Effective Date
Jun 11, 2025
Rule ID
247633
Linked to
Reg. Last Update
Mar 18, 2025
Report Section
US Insurance