Letters
- Consumer Support and Information
- Content Requirements for Plan Finder
- Pre-Existing Condition Insurance Plan (PCIP)
- Health Insurance Marketplaces
- State Innovations
- Health Insurance Market Reforms
Consumer Support and Information
Consumer Assistance Program Grants
News Releases
- July 22, 2010
Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care - Opens in a new window - October 19, 2010
New Affordable Care Act Rules Help Consumers Better Understand and Compare Benefits and Coverage - Opens in a new window
External Appeals
News Releases
Summary of Benefits and Coverage and Uniform Glossary
News Releases
- August 17, 2011
New Affordable Care Act Rules Help Consumers Better Understand and Compare Benefits and Coverage
Content Requirements for Plan Finder
Letters
- May 3, 2010
HHS Letter to Issuers of Private Individual and Small Group Market Insurance Regarding User Access and Authorization for the Health Insurance Oversight System - May 6, 2010
HHS Letter to States Regarding State Data Submission for the Health Insurance Oversight System (PDF – 110 KB) (PDF) - July 9, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 145 KB) (PDF) - August 10, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 53 KB) (PDF) - August 20, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 149 KB) (PDF) - August 31, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 36 KB) (PDF) - September 2, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates I (PDF – 62 KB) (PDF)
HHS/OCIIO Letter to Issuers Regarding Monthly Updates II (PDF – 30 KB) (PDF)
HHS/OCIIO Letter to Issuers Regarding Monthly Updates III (PDF – 32 KB) (PDF) - September 8, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 30 KB) (PDF) - September 13, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 204 KB) (PDF) - September 14, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 31 KB) (PDF) - September 15, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 75 KB) (PDF) - September 16, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 42 KB) (PDF) - September 22, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 30 KB) (PDF) - September 23, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 33 KB) (PDF) - September 24, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 95 KB) (PDF) - September 30, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 58 KB) (PDF) - October 28, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 266 KB) (PDF) - November 30, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 122 KB) (PDF) - December 10, 2010
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 80 KB) (PDF) - December 22, 2010
HHS Letter to Issuers of Health Insurance Regarding Provider Network Links (PDF – 32 KB) (PDF)
HHS Letter to Issuers of Health Insurance Regarding Brochure Links (PDF – 32 KB) (PDF)
HHS Letter to Issuers of Health Insurance Regarding Formulary Links (PDF – 32 KB) (PDF) - January 12, 2011
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 198 KB) (PDF) - January 19, 2011
HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF – 147 KB) (PDF) - February 15, 2011
HHS Letter to Issuers of Health Insurance Regarding Provider Network Links (PDF – 129 KB) (PDF)
HHS Letter to Issuers of Health Insurance Regarding Brochure Links (PDF – 130 KB) (PDF)
HHS Letter to Issuers of Health Insurance Regarding Formulary Links (PDF – 129 KB) (PDF) - April 12, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 230 KB) (PDF) - May 2, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 65 KB) (PDF) - June 2, 2011
Pre-disclosure Notification: FOIA Request for Source Data - http://finder.healthcare.gov - Memo (PDF – 99 KB) (PDF)
Attachment 1 (PDF – 141 KB) (PDF)
Attachment 2 (PDF – 157 KB) (PDF) - June 9, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 39 KB) (PDF) - July 13, 2011
HHS/CCIIO Letter to Issuers Regarding Web Statistics (PDF – 41 KB) (PDF) - July 26, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 65 KB) (PDF) - August 11, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 40 KB) (PDF) - August 18, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB) (PDF) - August 31, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB) (PDF) - September 16, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 86 KB) (PDF) - September 27, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 65 KB) (PDF) - September 30, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 51 KB) (PDF) - October 12, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 57 KB) (PDF) - October 17, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB) (PDF) - November 21, 2011
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 178 KB) (PDF) - January 6, 2012
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 202 KB) (PDF) - Feb 27, 2012
Individual/Family Market RBIS Template Changes (PDF – 62 KB) (PDF) - March 1, 2012
HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF – 63 KB) (PDF) - April 2, 2012
Changes to HIOS/RBIS Data Collection Windows (PDF – 40 KB) (PDF) - April 20, 2012
HIOS Small Group Open Window (PDF – 45 KB) (PDF) - May 22, 2012
Changes to June 11, 2012 Collection Window; Training Postponed (PDF – 51 KB) (PDF) - June 15, 2012
RBIS Training on Combined Window (PDF – 45 KB) (PDF) - June 26, 2012
Summary of Benefits and Coverage Links (PDF – 35 KB) (PDF) - June 27, 2012
Optional IFP Submission Window (PDF – 32 KB) (PDF) - July 19, 2012
Individual/Family Market RBIS Open Window Dates (PDF – 51 KB) (PDF) - August 20, 2012
August 27 Combined HIOB/RBIS Window (PDF – 46 KB) (PDF) - September 28, 2012
Summary of Benefits and Coverage (SBCs) Without Coverage Example Data (PDF - 118 KB) (PDF) - December 19, 2012
Rate/Plan Expiration and 2013 Combined Window Schedule (PDF - 80 KB) (PDF)
Persons using assistive technology may not be able to fully access information in this file. For assistance, please email HealthInsurance@hhs.gov.
Pre-Existing Condition Insurance Plan (PCIP)
Letters
Health Insurance Marketplaces
Letters
- November 12, 2010
HHS Letter to Tribal Leader on Tribal Consultation (PDF – 30 KB) (PDF) - November 18, 2010
HHS Letter to Governor Gregoire, Commissioner Cline and Senator Moore Regarding Initial Guidance of Health Insurance Exchanges (PDF – 88 KB) (PDF) - August 10, 2011
Tri-Agency Letter Addressing Cost Allocation for Medicaid, CHIP, the Exchange, and Other Human Services Programs (PDF - 189 KB) (PDF) - January 23, 2012
Tri -Agency Letter Providing Additional Guidance on Cost Allocation for Medicaid, CHIP, the Exchange, and Other Human Services Programs (PDF - 201 KB) (PDF) - May 16, 2012
HHS Letter to Governors on Affordable Insurance Exchange Guidance (PDF - 31 KB) (PDF) - November 9, 2012
HHS Letter to Governors on Exchange Blueprint Submission (PDF) (PDF - 82 KB) - November 16, 2012
State Letters on Exchanges - December 10, 2012
Letter to CO Governor on Conditional Approval to Establish a State-based Exchange (PDF – 53 KB) (PDF)
Letter to CT Governor on Conditional Approval to Establish a State-based Exchange (PDF – 53 KB) (PDF)
Letter to MD Governor on Conditional Approval to Establish a State-based Exchange (PDF – 54 KB) (PDF)
Letter to MA Governor on Conditional Approval to Establish a State-based Exchange (PDF – 53 KB) (PDF)
Letter to OR Governor on Conditional Approval to Establish a State-based Exchange (PDF – 52 KB) (PDF)
Letter to WA Governor on Conditional Approval to Establish a State-based Exchange (PDF – 54 KB) (PDF) - December 10, 2012
Letter to Governors on Exchanges, Market Reforms and Medicaid Frequently Asked Questions (PDF – 72 KB) (PDF) - December 10, 2012
Letter to Governors on Information for Territories Regarding the Affordable Care Act (PDF – 532 KB) (PDF) - December 14, 2012
Letter to DC on Conditional Approval to Establish a State-based Exchange (PDF – 55 KB) (PDF)
Letter to KY Governor on Conditional Approval to Establish a State-based Exchange (PDF – 52 KB) (PDF)
Letter to NY Governor on Conditional Approval to Establish a State-based Exchange (PDF – 50 KB) (PDF) - December 20, 2012
Letter to DE on Conditional Approval to Establish a State Partnership Exchange (PDF – 53 KB) (PDF)
Letter to MN on Conditional Approval to Establish a State-based Exchange (PDF – 44 KB) (PDF)
Letter to RI on Conditional Approval to Establish a State-based Exchange (PDF – 55 KB) (PDF) - January 3, 2013
Letter to AR on Conditional Approval to Establish a State Partnership Exchange (PDF –71 KB) (PDF)
Letter to CA on Conditional Approval to Establish a State-based Exchange (PDF – 56 KB) (PDF)
Letter to HI on Conditional Approval to Establish a State-based Exchange (PDF – 77 KB) (PDF)
Letter to ID on Conditional Approval to Establish a State-based Exchange (PDF – 69 KB) (PDF)
Letter to NV on Conditional Approval to Establish a State-based Exchange (PDF – 59 KB) (PDF)
Letter to NM on Conditional Approval to Establish a State-based Exchange (PDF – 64 KB) (PDF)
Letter to UT on Conditional Approval to Establish a State-based Exchange (PDF –75 KB) (PDF)
Letter to VT on Conditional Approval to Establish a State-based Exchange (PDF – 69 KB) (PDF) - February 8, 2013
Letter to Mississippi regarding Marketplace (PDF - 192 KB) (PDF) - February 13, 2013
Letter to Illinois regarding Conditional Approval of Partnership Marketplace (PDF - 80 KB) (PDF) - March 7, 2013
Letter to Iowa regarding Conditional Approval of Partnership Marketplace (PDF - 47 KB) (PDF)
Letter to Michigan regarding Conditional Approval of Partnership Marketplace (PDF - 58 KB) (PDF)
Letter to New Hampshire regarding Conditional Approval of Partnership Marketplace (PDF - 50 KB) (PDF)
Letter to West Virginia regarding Conditional Approval of Partnership Marketplace (PDF - 50 KB) (PDF)
Supplemental Letter to Arkansas on Conditional Approval to Establish a State Partnership Marketplace (PDF)
Supplemental Letter to Delaware on Conditional Approval to Establish a State Partnership Marketplace (PDF)
Supplemental Letter to Illinois on Conditional Approval to Establish a State Partnership Marketplace (PDF) - May 10, 2013
Letter to Utah regarding Small Business Health Options Program (PDF) (PDF - 276 KB) - May 13, 2013
Letter to Essential Community Providers (PDF) (PDF – 99 KB) - June 14, 2013
Letter to NAIC regarding Program Integrity Proposed Rule (PDF) - October 1, 2013
Letter to Mississippi regarding Small Business Health Options Program (PDF - 80 KB) (PDF)
Letter to Utah regarding Small Business Health Options Program (PDF - 85 KB) (PDF) - December 31, 2013
Letter and Report to Congress on Verification of Household Income and Other Qualifications for the Provision of Affordable Care Act Premium Tax Credits and Cost-Sharing Reductions (PDF) - June 15, 2015
Letter to AR Governor on Conditional Approval to Establish a State-based Exchange (PDF) (PDF – 53 KB)
Letter to DE Governor on Conditional Approval to Establish a State-based Exchange (PDF) (PDF – 53 KB)
Letter to PA Governor on Conditional Approval to Establish a State-based Exchange (PDF) (PDF – 54 KB) - October 4, 2016
Letter to Kentucky Governor on Approval of Kentucky’s Transition from an SBM to SBM-FP (PDF)
Note: People using assistive technology may not be able to fully access information in these files.
For assistance, please email healthcareweb@hhs.gov.
Planning and Establishment Grants
News Releases
- July 29, 2010
HHS Announces Availability of $51 Million in Resources for States to Build New Competitive Health Insurance Marketplace - Opens in a new window - January 20, 2011
HHS Announces New Resources to Help States Implement Affordable Care Act: States continue to move forward, have new support to implement Health Insurance Exchanges - Opens in a new window - July 11, 2011
HHS and states move to establish Affordable Insurance Exchanges, give Americans the same insurance choices as members of Congress - Opens in a new window - August 12, 2011
HHS, Treasury take new steps to help states build Affordable Insurance Exchanges - Opens in a new window
Early Innovator Grants
News Releases
- October 29, 2010
HHS Announces New Competitive “Early Innovator” Grants for States that Lead the Race to Develop IT Systems for State Exchanges - Opens in a new window - February 16, 2011
States Leading the Way on Implementation: HHS Awards “Early Innovator” Grants to Seven States - Opens in a new window
Information Technology Systems
News Releases
State Innovations
News Releases
- March 10, 2011
Obama Administration Takes New Steps to Support Innovation, Empower States - Opens in a new window
Health Market Reforms
Letters
- November 14, 2013
Letter to Insurance Commissioners on Market Transitional Policy (PDF) - July 16, 2014
Letter to Virgin Islands on the Definition of State (PDF)
Letter to Northern Mariana Islands on the Definition of State (PDF)
Letter to Guam on the Definition of State (PDF)
Letter to American Samoa on the Definition of State (PDF)
Letter to Puerto Rico on the Definition of State (PDF) - March 8, 2018
Letter to Idaho Governor and Department of Insurance Director on Idaho Bulletin No. 18-01 (PDF) - June 27, 2022
Letter to Issuers and Plans on Access to Contraceptive Coverage (PDF) - May 31, 2023
Letter to Virginia Governor and Insurance Commissioner on HB 768/SB335 (2022) - Preliminary Determination (PDF) - September 6, 2023
Letter to Virginia Governor and Insurance Commissioner on HB 768/SB 335 (2022) - Final Determination (PDF)
Annual Limits
News Releases
- December 9, 2010
Affordable Care Act increases transparency for consumers in “mini-med” plans - Opens in a new window
Coverage for Young Adults
Letters
- September 24, 2010
Letter from Secretary Sebelius to America’s Health Insurance Plans Regarding Children’s Access to Health Insurance (PDF – 234 KB) (PDF)
Letter from Secretary Sebelius to Blue Cross and Blue Shield Association Regarding Children’s Access to Health Insurance (PDF – 255 KB) (PDF) - October 13, 2010
Letter from Secretary Sebelius to Jane L. Cline Regarding Child-Only Policies (PDF – 214 KB) (PDF)
Grandfathered Plans
Letters
Medical Loss Ratio
Letters
- April 12, 2010
Summary Statement – Secretarial Correspondence Regarding NAIC - Opens in a new window
News Releases
- November 22, 2010
New Affordable Care Act rule give consumers better value for insurance premiums - Opens in a new window
Review of Insurance Rates
Letters
- June 7, 2010
HHS Secretary Sebelius Letter to Governors and State Insurance Commissioners Announcing the Availability of the First Round of Health Insurance Premium Review Grants (PDF – 23 KB) (PDF) - October 18, 2010
HHS/OCIIO Letter to Connecticut Insurance Department on Anthem Insurance Company’s Premium Rate Increase (PDF – 45 KB) (PDF) - December 21, 2010
HHS Secretary Sebelius Letter to Insurance Commissioners Regarding Premium Rate Review (PDF) - July 21, 2015
HHS/CCIIO Letter to Insurance Commissioners on Rate Review (PDF)
News Releases
- August 16, 2010
$46 Million in Grants to Help States Crack Down on Unreasonable Health Insurance Premium Hikes - Opens in a new window - December 21, 2010
New Affordable Care Act rules shed light on high health insurance rate hikes - Opens in a new window - February 24, 2011
States Can Apply for Nearly $200 Million to Help Fight Health Premium Increases - Opens in a new window - May 19, 2011
Affordable Care Act helps fight unreasonable health insurance premium increases - Opens in a new window
Student Health Plans
News Releases
- February 9, 2011
New Rule Ensures Students Get Health Insurance Protections of the Affordable Care Act - Opens in a new window