On Mar. 17, NH INS issued bulletin on 2026 plan year issuer guidance.
NH INS released Bulletin INS 25-023-AB related to 2026 plan year issuer guidance.
2026 Issuer Guidance
Reflects guidance set forth in proposed Notice of Benefit and Payment Parameters for 2026 (NBPP) and draft 2026 Letter to Issuers in the federally-facilitated exchanges.
Issuers planning to introduce a new product/network or discontinue a plan in 2026 are strongly urged to contact NH INS as soon as possible, but before initial filing in May.
Filing Deadlines and Procedures
Provided procedures and timelines related to health/dental issuer's form, rate filing.
Insurers requesting CMS certification must submit initial applications by May 1 2025.
Procedures allowed insurers to file rate template as a placeholder on/by May 1, 2025.
Initial rate submissions, off-exchange-only form, and rate filings due by Jun. 9, 2025.
Rate revisions on-exchange plans due Jul. 9, 2025; final rate revisions, Jul. 31, 2025.
Reviews, recommendations for certification completed by NH INS by Aug. 13, 2025.
Provided rate filing procedures (with, without waivers) for individual market issuers.
Qualified Health Plan (QHP) Guidance
NH INS published the CMS updated maximum annual limits on cost sharing.
Must file report showing compliance with prescription drug rebates by Mar. 1 each year.
The mental health parity quantitative treatment limits (QTL) reporting tool must be completed for each QHP plan and submitted through the SERFF by May 1, 2025.
Issuers shall complete and submit the network adequacy template for each QHP filing.
Essential health benefit category and class drug count tool, the adverse tiering tool, and the non-discrimination clinical appropriateness tool are required for issuers to run.
