MO| Bulletin 25-08, by the Missouri DCI, provides detailed instructions for insurance companies in Missouri to revise health insurance rate and form filings for Plan Year 2026, in response to new federal guidance and recent court decisions affecting actuarial value standards and eligibility for catastrophic plans.
Key Points:
- Insurers must withdraw previous 2026 rate filings and submit revised filings reflecting updated actuarial values and plan designs by September 24, 2025, including specific supporting documents such as redlined actuarial memoranda, cover letters, attestations, rate tables, and calculator screenshots.
- Any changes must directly address de minimis actuarial value revisions, required plan design updates, or catastrophic plan rate adjustments due to the latest federal and court guidance.
- Form revisions require insurers to ensure compliance with new federal rules, coordinate closely with CMS for authorization forms, and submit updated documentation through SERFF by explicit deadlines, including detailed contact information and attestation statements.
