MI| The Michigan Department of Insurance and Financial Services (DIFS) has issued Order 2025-15-M, extending the Affordable Care Act (ACA) transitional policy for non-grandfathered individual and small group health insurance plans through December 31, 2026. This extension allows issuers to continue renewing plans that have been continuously renewed since 2014, with certain exemptions from ACA and state market reforms, provided they comply with specific federal requirements and notification procedures. Issuers must file rates and forms with DIFS, provide required notices to policyholders, and obtain approval for any rate increases.
Main Points:
- Extension of Transitional Policy: Non-grandfathered individual and small group health plans may be renewed through December 31, 2026, under the ACA transitional policy, with annual reevaluation by DIFS.
- Exemptions and Compliance: Renewed plans are exempt from several ACA and state market reforms but must comply with key federal provisions (e.g., prohibitions on annual dollar limits, pre-existing condition exclusions, and excessive waiting periods).
- Filing and Notification Requirements: Issuers must file rates and forms with DIFS at least 60 days before renewal, provide standard CMS notices and rate increase notifications to policyholders, and obtain DIFS approval for any rate changes.