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Small group: Major medical health benefit plans

Filing requirements

  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:
    • In addition to being posted at https://www.qhpcertification.cms.gov/s/Application%20Instructions
    • Filers must download and use the latest version of the Excel templates when submitting QHP applications in SERFF or HIOS. Please ensure the success of your QHP submission, whether filing it via SERFF or HIOS, by completing the most current version of the template.
  5. Readability Certification
  6. Actuarial Memorandum Templates
  7. Standard Review Questions

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