OCI > Comprehensive Health Rate Filings - Single Risk Pool

Comprehensive Health Rate Filings - Single Risk Pool

Last Updated: June 8, 2020

Required Document	Description	Reference Document(s)
Individual Market Filings - Rating Level (submit identical documents with all filings in the rating block)
Federal Unified Rate Review Template (URRT)	Standardized federal data collection template - must be submitted to OCI and the federal government
Wisconsin Actuarial Memorandum and Certification Template	Provides support for data submitted in the URRT; must be in the Wisconsin-specific format (which satisfies the requirements of the federal Actuarial Memorandum and Certification instructions) - must be submitted to OCI and the federal government
Wisconsin Rate Pages and Service Area Template (Individual)	Standardized Wisconsin-specific collection tool for plan-level rate(s) and service area(s) in the individual market; submitted via the Health Insurer Web Application (HIWA)	Geographic Rating Areas
Plan Mapping Template	Standardized Wisconsin-specific collection tool for mapping plans from the prior rate filing; submitted via HIWA
Individual Market Filings – Product Level (submit one document for each product in the filing)
Product Data Template - Individual Single Risk Pool	Standardized Wisconsin-specific collection tool for product-specific background, product-specific regional enrollment and rate change information; submitted via HIWA	Geographic Regions Product and Plan Definition

Required Document	Description	Reference Document(s)
Small Group Market Filings - Rating Level (submit identical documents with all filings in the rating block)
Federal Unified Rate Review Template (URRT)	Standardized federal data collection template - must be submitted to OCI and the federal government
Wisconsin Actuarial Memorandum and Certification Template	Provides support for data submitted in the URRT; must be in the Wisconsin-specific format (which is in full compliance with the federal Actuarial Memorandum and Certification instructions) - must be submitted to OCI and the federal government
Wisconsin Rate Pages and Service Area Template (Small Group)	Standardized Wisconsin-specific collection tool for plan-level rate(s) and service area(s) in the small group market; submitted via the Health Insurer Web Application (HIWA)	Geographic Rating Areas
Plan Mapping Template	Standardized Wisconsin-specific collection tool for mapping plans from the prior rate filing; submitted via HIWA
Small Group Market Filings – Product Level (submit one document for each product in the filing)
Product Data Template - Small Group Single Risk Pool	Standardized Wisconsin-specific collection tool for product-specific background, product-specific regional enrollment and rate change information; submitted via HIWA	Geographic Regions Product and Plan Definition