Vha 10 489a Form 2023-2024

Vha 10 489a Form: What You Should Know

Effective May 25, 2016: (a) Effective July 1, 2016, to participate and receive premium rate and group-rate adjustments for approved health plans, plans or group health plans shall file the required form A (group rate review certificate) before applying for and receiving an initial, or annual, rate increase. (2) Each group rate review certificate shall include, in lieu of the standard form A required to be mailed directly to each plan sponsor under the Insurance Code, a standard form A, Form G, or Form A-G, as appropriate. Form G or A-G need not accompany a new Form A (group rate review certificate). The form A-G shall be used for the entire plan year to be filed. Thereafter, the form A shall be used only when required in connection with a new request for group rate changes. (b) In addition to the form A required to be mailed to each plan sponsor under the Insurance Code, the new Form A-G may include, instead of the standard form A required to be mailed directly to each plan sponsor under the Insurance Code, a standard form A, Form D, or Form D-D, as appropriate; and: (1) Each form A-G shall be printed on either Type A or high-density, letter-sized paper, weighing 7 1/2 ounce or greater; (2) If a group health option is not offered on the health plan the applicant is applying to, the form A-G may be printed on high-density, letter-size paper, weighing 7 1/2 ounce or greater, and shall be signed by the insurance carrier and designated as the group rate review certificate by the state or a state licensing agency, as appropriate, in which the applicant seeks rate adjustments for the entire plan year or the plan year, as shown on the form A-G. The designated form D or D-D shall be retained by the application sponsor by which the approved plan is to be included in the certificate. Any group rate review certificate received after the close of the regular annual enrollment period of the plan shall be mailed to the applicant, using a U. S. Postal Service first-class postmark, no later than the first business day after the end of the annual enrollment period.

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