TDI Resources | Federal Resources | Filing Time Frames
TDI Resources
- Rate Review requirements
- Product Checklists for compliance with Texas requirements
- Frequently Asked Questions (FAQs) - updated June 19, 2018
Federal Resources
- Federal regulations and guidance are organized by topic on the Center for Information and Insurance Oversight CCIIO resource page
- Information and Guidance for Qualified Health Plan (QHP) Certification
CMS Regulatory Role in Texas
CMS is responsible for enforcing the Affordable Care Act (ACA) individual and group market reforms - refer to 42 U.S. Code Chapter 6A, Subchapter XXV, Part A. As of 2023, TDI is responsible for reviewing rates for compliance with state and federal law - refer to Insurance Code Chapter 1698.
In order to enforce the ACA market reforms, CMS requires Texas carriers to submit form filings for federal review; see CCIIO's December 20, 2022, letter to Texas issuers: Form Filing Instructions for System for Electronic Rates and Forms Filing (SERFF) for Plan Year 2024.
Guidance for Qualified Health Plans (QHPs) Participating in the Federally Facilitated Marketplace
Each year CMS publishes updated operational and technical guidance, including in the CMS Letter to Issuers, Notice of Benefit and Payment Parameters, and QHP Data Submission and Certification Timeline Bulletin. Refer to the CMS QHP Certification website for the latest Published Guidance and Regulations.
Carriers may also access technical assistance via www.regtap.info, email the Help Desk at CMS_FEPS@cms.hhs.gov, or call 1-855-CMS-1515.
Filing Time Frames
Rates: June 15 of each year. Refer to 28 TAC §3.505(b).
Forms: Concurrent with CMS filings. To meet CMS deadlines, TDI encourages carriers to submit form filings to TDI at the same time they are submitted to CMS.