On Sep. 5, DEL INS issued bulletin on letters of intent to participate.
DEL INS reissued Bulletin 92 on intent to participate in health benefits exchange.
Invites potential qualified health plan (QHP) issuers to submit letter indicating their intent to apply for participation on the Delaware marketplace for calendar year 2026
Letter of Intent
Letter of intent must be submitted to the Commissioner by no later than Apr. 1, 2025.
Does not contain any proposed timelines for accepting and reviewing issuer, plan data.
Department working on appropriate timelines for QHP application and review process.
The Department will finalize its timeline for submission and review of QHP issuer and plan applications and forms once the federal rules and guidance have been released.
Continues to conduct QHP certification review for compliance with State, federal laws.
QHP Certification Standards
All issuers, plans participating in exchange must meet federal certification standards.
Must also comply with State-specific QHP standards for plan year 2026, such as applying to both the individual and small group plans sold inside the marketplace.
All plans, both inside and outside of marketplace, must comply with Essential health benefits benchmarks established by State, exceptions for stand-alone dental plans.
State-specific standards do not attempt to modify any federal standard, but augment federal requirements for certification to include state regulations, codes, standards.
Promote State compliance, value to consumers, clarify commercial plan exceptions.
Effectiveness
Bulletin is effective immediately, shall remain in effect unless withdrawn/superseded.
All letters of intent must be submitted to the DEL INS commission by Apr. 1, 2025.
