UT| The Utah Insurance Department Bulletin 2025-6 outlines the filing requirements and standards for insurers offering health benefit plans and stand-alone dental plans for the 2026 plan year. It provides deadlines, compliance guidance, and reiterates state and federal requirements for insurers to ensure all filings are accurate, complete, and compliant with legal standards.
Key points:
- Filing Requirements and Deadlines: Insurers must submit required binders, forms, and rate filings for individual and small employer health and dental plans by specific deadlines in May, June, July, and August 2025, with detailed procedural requirements for each type of filing.
- Compliance with Federal and State Regulations: The bulletin summarizes obligations under the Affordable Care Act (ACA), Mental Health Parity and Addiction Equity Act (MHPAEA), and other federal laws, including non-discrimination, actuarial value standards, network adequacy, accreditation, reporting, and coverage of preventive services.
- Plan Design and Documentation: Insurers are required to thoroughly document product changes, discontinuations, and plan justifications, utilize standardized federal templates and review tools, and provide additional attestations and analyses (such as mental health parity) to demonstrate compliance and ensure accurate plan certification and consumer protection.