On Apr. 26, MCH INS issued bulletin on medical reporting obligations.
MCH INS issued Bulletin 2025-08-INS with 2026 form and rate filing requirements for medical plans, reported that enhanced credits will not be available in plan year 2026.
Medical Plan Reporting
Bulletin reports on the new 2026 form and rate filing requirements for medical plans.
Issuers should submit rates assuming enhanced subsidies are not available for plan year (PY) 2026, may offer non-standardized plan options beyond the limit of two.
For PY26, DIFS’ process for certification and recertification of a qualified health plan (QHP) is consistent with process used in prior plan years, should submit same data.
Bulletin also established submission dates for Michigan issuers to file their proposed Forms, Rates, and Binders for PY26 for small group as well as individual markets.
A complete submission includes the SERFF Form/Rate filing and Binder, and templates.
Quality Improvement Strategy (QIS) standards include requiring issuers to address their efforts to reduce healthcare disparities in addition to previous requirements.
Deadlines
The deadline for submitting the QIS form in the small group market is May 14, 2025.
Deadline for submitting the QIS form filing for the individual market is May 28, 2025.
The remainder of the filing deadlines are listed from Jun. 2025 through Nov. 1, 2025.
