MS| The Mississippi Insurance Department issued Bulletin 2025-4 to provide guidance following federal litigation (City of Columbus v. Kennedy) concerning recent Affordable Care Act (ACA) Exchange regulations from HHS, which are currently enjoined by court order, affecting certain Actuarial Value (AV) rules for 2026 health plans. Due to the injunction, previously filed health plans for Plan Year 2026 may not comply with AV requirements; thus, Mississippi will allow a limited re-filing period for Qualified Health Plans (QHPs) needing changes to meet AV policy, with all re-filings or withdrawals due by September 16, 2025 through SERFF, and strict limits on the scope of permitted changes. Issuers must summarize all modifications or, alternatively, withdraw non-compliant plans as long as minimum county-level offerings are maintained, ensuring consumer choice. The Department will monitor ongoing litigation and update guidance; issuers can contact the Life and Health Actuarial Division for assistance.
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