Filing Requirements - Individual Health

Major Medical/Health Benefit Plan

1. NAIC Transmittal Form, instructions, and Product Code matrices for completing transmittal forms
2. Instructions for the Filing Description on the Transmittal (cover letter)
3. Certificate of Compliance: Word,   PDF
4. Product standards:
   • Form filings: Word,  PDF
   • Rate filings: Word,  PDF
5. Readability Certification
6. Rate Filing Summary (Plain Language Statement):
   • New Plans: Exhibit 1
   • Revised Plans: Exhibit 2
7. Appendix B with Actuarial Memorandum: Word,   PDF
8. Statement of Administrative Expense:
   • New Plans: Exhibit 3