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Health Care Reform

As your state insurance regulatory agency, it is our goal to provide accurate and unbiased information to Nevada consumers, insurers and producers regarding the recently passed Patient Protection and Affordable Care Act. We look forward to providing more details as that information becomes available to us.

2016 Health Benefit Plan and Standalone Dental Plan Timeline

March

March 19, 2015 - DOI 2016 Rate and Form Filing Webinar

April

April 16, 2015 - DOI/Exchange Plan Certification Webinar

May

May13, 2015 - All forms, rates and binders must be submitted to DOI via SERFF
May15, 2015 - Exchange transfers QHP and SADP data from SERFF to CMS

May 15, 2015 - DOI posts public information from rate filings

June

June 1, 2015 - DOI posts all proposed individual and small group rates 
June 15, 2015 - QHP and SADP correction notices sent to carriers via SERFF

July

July 1, 2015 - Revised QHP and SADP data must be submitted via SERFF
July 10, 2015 - Exchange transfers revised QHP and SADP data from SERFF to CMS

August

August 1, 2015 - QHP and SADP correction notices sent to carriers via SERFF 
August 7, 2015 - DOI approves all rates
August 10, 2015 - Final revised QHP and SADP data must be submitted via SERFF
August 25, 2015 - Exchange transfers final QHP and SADP data from SERFF to CMS

September

September 15, 2015 - Final drug lists must be submitted

October

October 1, 2015 - DOI posts all approved individual and small group rates 
October 15, 2015 - Formularies will be approved and locked down
October 23, 2015 - Formulary and Provider links due DOI 
October 23, 2015 - Clean copies of all forms due DOI

November

November 1, 2015 - Open enrollment, DOI posts all approved individual and small group forms

2016 Filing Guidance Webinar from March 19, 2015

A rebroadcast of our 2016 Filing Guidance is available with the supporting attachments at http://di-video.nv.gov/videos/video/106/ . Due to a technical problem we have been unable to trim the first ten minutes of the presentation in which we are simply counting down to the designated hour.  Please use the video time line across the bottom of box to skip the initial ten minutes and to jump within the material to the area in which you needed more information. We followed the PowerPoint as an outline so that can assist you in finding the area of concern and only interrupted that flow for Q & A as the questions arose.  Additionally, the Division staff is always available as a resource as you prepare the 2016 filings.

 

2016 Plan Certification Webinar from the Nevada Exchange

The April 16, 2015 presentation by the Silver State Health Insurance Exchange offering detailed guidance for the proper submission of binders and templates is available at http://exchange.nv.gov/Resources/2016 carriers/. This information is directed at medical and dental carriers wanting to participate through HealthCare.gov in 2016 or as certified dental plans off the exchange.  The related supporting documents intended to facilitate the process are also available at this site for download.