GA| BULLETIN 25-EX-02 from the Georgia Office of the Commissioner of Insurance addresses rate re-filing requirements for health insurers offering plans on Georgia Access in light of the ongoing City of Columbus v. Kennedy litigation, which has paused certain federal Actuarial Value (AV) policy provisions for Plan Year 2026. Only specified plans deemed out of compliance due to the injunction may re-file, and changes must strictly relate to AV policy compliance. Insurers can withdraw non-compliant plans if they continue to meet minimum metal level standards, with all re-filings due by September 12, 2025.
Key Points:
- Only plans identified by the OCI as out of AV policy compliance may re-file, with changes strictly limited to compliance requirements.
- Issuers may choose to withdraw non-compliant plans, provided consumer plan choice and county-level metal coverage minimums are maintained.
- All required re-filings must be submitted to OCI by September 12, 2025, with further guidance for Small Group and off-exchange plans forthcoming.