DE| The Delaware Department of Insurance has issued Bulletin No. 154 to notify Qualified Health Plan (QHP) issuers in the Individual Market about new notice requirements for Plan Year 2026 following recent CMS guidance. Due to ongoing eligibility determination challenges, issuers are permitted to omit certain premium and Advance Premium Tax Credit (APTC) details from renewal notices under specific conditions, provided they use approved federal notice templates and comply with all other applicable federal and state requirements.
Key points:
- QHP issuers may omit premium and APTC information from Plan Year 2026 renewal notices if CMS-approved standard notices are used and all other notice requirements are followed.
- Insurers must still deliver 90-day product discontinuation notices, maintain records, and adopt updated templates once approved by the Office of Management and Budget (OMB).
- Compliance with all other consumer protection standards and regulatory obligations remains mandatory.