Guidance for Health Legislation
Guidance documents issued by the Department regarding health-related legislation may be accessed by following the links below.
Comments regarding draft guidance may be submitted by e-mail to: guidancecomments@insurance.ca.gov.
Guidance Documents
| Number | Draft Date | Final Date | Subject |
|---|---|---|---|
| 1163:1 | 11/24/2010 | 12/02/2010 | SERFF Filing of Rates |
| 2244:1 | 12/16/2010 | 01/06/2011 | Coverage for children on every policy, OEP, LEP other topics |
| 1163:2 | 02/03/2011 | 04/05/2011 | Unreasonable rate increases, Filing and Notice, Actuarial Certification, Filing Requirements |
| Form | 02/03/2011 | 04/05/2011 | California Rate Filing Form |
| Form | 04/05/2011 | California New Product Rate Filing Form | |
| Form | 02/03/2011 | 04/05/2011 | California Plain-Language Rate Filing Description |
| Spreadsheet | 04/05/2011 | California Rate Filing Spreadsheet | |
| Spreadsheet | 04/05/2011 | California Plain-Language Spreadsheet | |
| 2244:2 | 02/07/2011 | 03/07/2011 | Children's coverage - further guidance |
| 2470:1 | 03/11/2011 | Superseded by 2470:2 | Notice re: Commissioner's review of cancellation/rescission/non-renewal [superseded by 2470:2] |
| 2244:3 | 05/09/2011 | 06/06/2011 | Exempted policy types |
| 2470:2 | 05/26/2011 | Cancellation, Rescission, Non-Renewal of policies; Review of Complaints | |
| 1163:3 | 08/03/2011 | 08/25/2011 | Annual Aggregate Rate Data Report Filing |
| Form | 08/03/2011 | 08/25/2011 | California Annual Aggregate Rate Data Report Form |
| 1163:4 | 08/03/2011 | 08/25/2011 | Submission of Preliminary Rate Information |
| 1163:5 | 04/16/2012 | Withdrawn | Large Group Rate Filing |
| 1163:6 | 06/29/2012 | Administrative Costs, Reinsurance, Risk Adjustment, Risk Corridors, Medical Loss Ratio | |
| 1163:7 | 06/29/2012 | Individual Coverage Sold Through Associations | |
| AB 1962 Dental MLR | 05/20/2019 | 2019 Reporting Form | |
| AB 1962 Dental MLR | 05/20/2019 | 2019 Filing Instructions | |
| AB 1962 Dental MLR | 05/20/2019 | 2019 Guidance for submitting data | |
| SB 137 Provider Directory Standards | 12/30/2016 | Uniform Provider Directory Standards | |
| AB72:1 | 06/09/2017 | Implementation Guidance, Dispute Resolution Process: Relevant Reimbursement Data | |
| AB72:1 | 06/09/2017 | Average Contracted Rate Form Instructions | |
| AB72 Form: Individual | 06/09/2017 | AB72 Average Contracted Rate Form - Individual | |
| AB72 Form: Small | 06/09/2017 | AB72 Average Contracted Rate Form - Small Group | |
| AB72 Form: Large | 06/09/2017 | AB72 Average Contracted Rate Form - Large Group | |
| AB72:2 | 09/12/2017 | Independent Dispute Resolution Process | |
| AB72:2 Request Form | 09/12/2017 | IDRP Request Form | |
| AB72:2 Request Spreadsheet | 09/12/2017 | IDRP Request Claim Information Spreadsheet | |
| AB72:2 Response Form | 09/12/2017 | IDRP Response Form | |
| SB 546 Large Group Aggregate Rate Data and SB 17 Cost Reporting for Large Group Plans | 05/20/2024 | Large Group Aggregate Rate and Prescription Drug Cost Data Guidance | |
| SB 546 Large Group Aggregate Rate Data and SB 17 Cost Reporting for Large Group Plans | 05/20/2024 | Large Group Aggregate Rate and Prescription Drug Cost Data Workbook | |
| SB 17 Cost Reporting for Commercial Plans | 05/15/2023 | Prescription Drug Cost Reporting Form Instructions for Commercial Plans
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| SB 17 Cost Reporting for Commercial Plans | 05/15/2023 | Prescription Drug Cost Reporting Form for Commercial Plans | |
| SB 407 Medicare Supplement | 6/30/2020 | Medicare Supplement New or Innovative Benefits | |
| SB 910 Short-Term Limited Duration Health Insurance | 12/10/2018 | Notice of Prohibition Regarding Short-Term Limited Duration Health Insurance | |
| AB 2941 Health Care Coverage: State of Emergency | 12/10/2018 | Notice re Health Insurer Emergency Notification | |
| AB 731 Individual and Small Group Filing Information | 05/01/2023 | AB 731 Individual and Small Group Filing Information | |
| AB 731 Individual and Small Group Workbook | 05/01/2023 | AB 731 Individual and Small Group Workbook | |
| AB 731 Large Group Filing Information | 05/01/2023 | AB 731 Large Group Filing Information | |
| AB 731 Large Group Workbook | 05/01/2023 | AB 731 Large Group Workbook | |
| AB 2118 Individual and Small Group Market Aggregate Rate Information | 06/06/2024 | AB 2118 Guidance | |
| AB 2118 Individual and Small Group Market Aggregate Rate Information | 06/06/2024 | AB 2118 Aggregate Rate Information Form - Individual | |
| AB 2118 Individual and Small Group Market Aggregate Rate Information | 06/06/2024 | AB 2118 Aggregate Rate Information Form - Small Group | |
| SB 326/SB 718:1 | 05/06/2022 | Guidance re: Multiple Employer Welfare Arrangement (MEWA) Registration and Compliance Implementation | |
| SB 326/SB 718:2 | 05/06/2022 | Application Form for MEWA Registration | |
| AB 133:1 | 12/22/2023 | AB 133 Guidance re: The Children and Youth Behavioral Health Initiative | |
| AB 1048 Dental Rate Review | 07/01/2024 | AB 1048 Dental Rate Review Guidance | |
| AB 1048 Dental Rate Review | 07/01/2024 | AB 1048 Dental Rate Review Workbook | |
| SB 923:1 | 09/01/2024 | SB 923 Guidance re: Trans-Inclusive Health Care for Individuals who Identify as Transgender, Gender Diverse or Intersex |
