DE| The Delaware Department of Insurance has released the updated Domestic and Foreign Insurers Bulletin No. 138, that provides guidance on implementing Regulation 1322 for health insurance in Delaware.
Key Points:
- Purpose and Scope: The bulletin outlines procedures for insurers subject to Regulation 1322, which became effective on August 11, 2022, and pertains to mandatory minimum payment innovations in health insurance.
- Required Carriers: Carriers making rate filings for health benefit plans are required to complete the Affordability Standards Data Submission (ASDS) template, with exceptions for carriers with fewer than 250 members in a market segment, Student Health Plans, and “expat plans”.
- ASDS Template Updates: The ASDS template has been updated to include additional primary care codes and to reflect changes in service, taxonomy, and place of service codes introduced by the Centers for Medicare and Medicaid Services (CMS).
- Submission Deadlines and Requirements: Carriers must submit the completed ASDS template by specific deadlines (June 20, 2025, for Individual and Small Group, and September 19, 2025, for Large Group), excluding American Rescue Plan Act premium tax credit considerations.