Filing Information for Insurers

ACA PY 2024 Form & Rate Filing Information

Tab/Accordion Items

On this website you will find updates about the Affordable Care Act (Public Laws 111-148 & 111-152) and what it means for the insurance industry. Please check back often for ongoing updates.

Contact Information: For questions or comments, please contact us at L&Hinbox@ncdoi.gov or 919-807-6055, and ask to speak to someone regarding federal health care reform.

For information about federal CCIIO trainings, register with the Technology Assistance Portal.

Advisory Memoranda

Rate Filing Information (Non-Grandfathered ACA-Compliant Plans Only)

NC Data Template

Checklists

Actuarial Memoranda

Federal Unified Rate Review Template

Final Data Consistency

ACA 2nd Lowest Cost Silver Plan Rates By County Template

Geographic Rating Areas

On Friday, March 29, 2013 NCDOI received approval of the revised geographic rating area request which included 16 rating areas for the State.

Contact Information: For questions or comments, please contact us at L&Hinbox@ncdoi.gov or 919-807-6055, and ask to speak to someone regarding Federal health care reform.

NC EHB Crosswalks

For ALL Plan Year Non-grandfathered ACA-compliant plans from Plan Year 2017 and forward

Contact Information: For questions or comments, please contact us at L&Hinbox@ncdoi.gov or 919-807-6055, and ask to speak to someone regarding Federal health care reform.

Essential Health Benefits and Actuarial Value

Current NC Plan Year EHB Benchmark Information

Supplemental Pediatric Dental and Vision Benchmarks

Federal Actuarial Value Calculator

2014-2016 EHB Benchmark Information - Historical

Student Health Insurance Regulatory Filings Information (Non-grandfathered Plans Only)

Contact Information: For questions or comments, please contact us at L&Hinbox@ncdoi.gov or 919-807-6055, and ask to speak to someone regarding Federal health care reform.

Non-Grandfathered Transitional Coverage Information

Federally Facilitated Marketplace/SHOP Information

Pursuant to Session Law 2013-5, North Carolina has a federally-facilitated marketplace (FFM).

Below are links to resources for insurers related to applying to be a Qualified Health Plan (QHP) or exchange-certified Stand Alone Dental Plan (SADP) in the federal exchange:

The federal exchange has also set up a helpdesk for insurers which can be accessed by phone at 855-CMS-1515 or by email at cms_feps@cms.hhs.gov.