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2017 Health Benefit Plan and SADP Timeline

March

March 1, 2016 - EOC form filing due for all individual and small group health plans
March 1, 2016 - Deadline for filing of small group rate changes effective on July 1, 2016
March 7, 2016 - 10:30AM - 12:00PM 2017 Nevada Filing Guidance Part I
March 7, 2016 - 1:30PM - 3:00PM Rate filing webinar for health plans
March 24, 2016 -Network adequacy webinar: Cancelled 3/14/2016
March 25, 2016 - DOI sends first objection letter to carriers via SERFF

April

April 7, 2016 - 9:30AM - 12:pm (PDT) 2017 Nevada Filing Guidance Part II with general Q & A including Network Adequacy issues 
April 8, 2016 - Revised EOC documentation due in SERFF
April 15, 2016 - DOI sends final EOC correction letter to carriers via SERFF
April 29, 2016 - Final revised EOC response documentation due in SERFF

May

May 2, 2016 - Form/Rate filings and binders due for all individual and small group health plans
May 2, 2016 - Form / Rate filings and binders due for all SADP with EOC included
May 6, 2016 - Exchange makes initial transfer of QHP and SADP data to CMS
May 6, 2016 - DOI posts public information from rate filings
May 13, 2016 - DOI sends first objection letter to carriers via SERFF
May 20, 2016 - DOI posts all proposed individual and small group health rates with approved EOC
May 27, 2016 - Revised Form/Rate and network adequacy data and documentation due in SERFF

June

June 1, 2016 - Deadline for filing of small group rate changes effective October 1, 2016
June 10, 2016 - DOI sends second objection letter to carriers in SERFF
June 24, 2016 - Revised Form/Rate and network adequacy data and documentation due in SERFF
June 24, 2016 - Exchange transfers revised QHP and SADP data to CMS

July

July 8, 2016 - DOI sends third objection letter to carriers
July 22, 2016 - Revised Form/Rate and network adequacy data and documentation due in SERFF
July 29, 2016 - DOI makes final network adequacy determinations

August

August 12, 2016 - DOI makes final determination on all 2017 rate filings in SERFF
August 19, 2016 - Exchange transfers final QHP and SADP data to CMS

September

September 16, 2016 - Final individual drug lists must be submitted

October

October 2, 2016 - DOI posts all approved individual and small group rates
October 14, 2016 - Individual formularies will be approved and locked down
October 21, 2016 - Clean copies of all health forms to DOI 
October 21, 2016 - Links to formularies and provider networks to DOI

November

November 1, 2016 - Open enrollment begins 
November 1, 2016 - DOI posts all approved individual and small group forms

PY2017 Filing Guidance Webinar from March 7, 2016

The March 7th Nevada Plan Year 2017 Filing Guidance Part I webinar is now available at: http://di-video.nv.gov/videos/video/109/. To accompany this video and the Plan Year 2017 Rate Filing Guidance we offer the supporting PowerPoint decks, Part II suggested format for the Rate Justification and a revised 2017 Nevada Rate Filing Template.

PowerPoint Presentations for April 7th Q & A Webinar

Silver State Health Insurance Exchange Certification Presentation

Division of Insurance 2017 Filing Guidance Part II 

 

Plan Year 2017 Letter to Issuers

 PY2017 Letter to Issuers