SD| The South Dakota Division of Insurance Bulletin 25-02 outlines key filing deadlines and requirements for health insurance issuers offering ACA-compliant plans effective January 1, 2026. Issuers must submit product filings, including rate justifications based on both current law and potential extensions of premium tax credits, by May 28, 2025. Additional mandates include the submission of various reports and compliance materials, with strict penalties for missed deadlines or incomplete documentation.
Key Points:
- All On and Off-Exchange ACA-compliant plan filings, including rates, forms, access plans, and binders, are due by May 28, 2025, and must address both scenarios for premium tax credits.
- Issuers must file special reports: Mental Health Parity Self-Compliance Questionnaire, network adequacy updates (due January 15 and July 15, 2026), and secret shopper survey results (due June 30, 2025).
- Late or revised filings are not accepted unless required by regulators, and the deadlines do not apply to grandfathered or certain older health plans.
