The Patient Protection and Affordable Care Act - PPACA
SERFF 5.8.3 introduces support for the Patient Protection and Affordable Care Act (PPACA). This release includes the ability to mark a Sub-TOI as PPACA eligible, which triggers the display of a required PPACA field on filings associated with that Sub-TOI. This field has also been added to PDF Pipeline and Post-Submission Updates. Expansion of PPACA support, such as adding the fields to Search and the Export Tool, is planned for upcoming releases.
PPACA Eligibility
A Sub-TOI's eligibility for PPACA is set in Filing Rules and is based on the decisions of the NAIC's Speed to Market Task Force. Once a Sub-TOI is marked as PPACA eligibile, any filing associated with that Sub-TOI will display the PPACA field. If the filing was submitted before the Sub-TOI was made PPACA eligible, the field will have a PPACA value of "Pre-PPACA Submission", which may be changed through a Post-Submission Update.
States not currently supporting Post-Submission Updates should contact the SERFF Help Desk, as it is important that filers be able to update fiings submitted prior to the release of SERFF 5.8.3 and that field is only editable if the state has implemented the Post-Submission Updates feature.
Setting PPACA
For eligible Sub-TOIs the PPACA field can be found on the General Information tab. New filings made on a PPACA eligible Sub-TOI must have at least one PPACA value selected prior to submission. If they are not related to PPACA, the "Not PPACA-Related" option should be selected. Some PPACA values cannot be selected in conjunction with any other value, while others may be selected in combinations.
PPACA selections can be corrected through Post-Submission Updates.
Click here to see an overview of PPACA changes.
Rate Review Detail
Click here to review descriptions of multiple fields found on the Rate Review Detail window within the Rate/Rule Schedule.
Didn't find what you needed here?
The SERFF Help Desk is a great source of information.
Contact the SERFF Help Desk by calling 816-783-8500 or emailing serffhelp@naic.org.