MD| Bulletin 25-1, from the Maryland Insurance Administration, provides guidance for insurers and health organizations regarding form and rate filing requirements for individual and small employer health benefit plans for the 2026 policy year. It outlines specific deadlines for various types of plans, including individual health benefit plans, small employer health benefit plans, and stand-alone dental plans. The bulletin also details general requirements for form filings, such as separate submissions for forms and rates, restrictions on variability in cost-sharing, and necessary documentation for compliance with regulations like the Mental Health Parity and Addiction Equity Act.
Key points:
- Form and rate filing deadlines are set for various health benefit plans for the 2026 policy year.
- Detailed requirements are provided for form filings, including documentation of compliance with regulations.
- Rate filings must include specific documents and demonstrations of compliance with ACA standards.
- Substitution of essential health benefits will not be allowed in individual and small employer markets for 2026.