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.

Qualified Health and Dental Plan Implementation Timeline for Plan Year 2015

April 2014 Final Plan Management Templates released by CMS
Mid to Late May HIOS to finalize Template validation processes
Carrier access to Binders in SERFF
May – July DOI sponsored educational webinars for Industry:
May 1 1:30 - 3:00 PM  Overview
May 15 1:30 - 3:00 PM  Rate Filings
May 29 1:30 - 3:00 PM  Form Filings
June 5 1:30 - 3:00 PM  Network Adequacy
June 12 1:30 - 3:00 PM  QHP Plan Certification/Templates
June 19 1:30 - 3:00 PM  QDP Plan Certification/Templates
June 26 1:30 - 3:00 PM  Template Validation/Binder Submission Issues - Session 1
July 10 1:30 - 3:00 PM  Template Validation/Binder Submission Issues - Session 2
July 15 Deadline for carriers to submit all plan Rates/Forms/Binders to DOI*
July 15 to September 9 DOI to transfer proposed Template data to Exchange
September 10 DOI to certify all Binders 
Final transfer of QHP/QDP data to Exchange
October 16 Rates will be displayed on DOI website
November 15 Open enrollment begins
February 15, 2015 Last day to sign up on the Exchange
Please note that some dates are subject to change.
*Applies to all individual and small group non-grandfathered plans and standalone dental plans. Binders are not required for off-Exchange non-QHP plans.

Insurer Topics

New Effective September 1, 2011, the HHS Rate Summary Worksheet must be included with all Nevada individual and small employer health benefit plan rate filings proposing overall average rate increases of 10% or more.

New Effective October 1, 2011, carriers must obtain approval from the Nevada Division of Insurance prior to implementing changes to rate schedules for small employer health insurance products. 

Health Rate Filings

White Papers