# IL Company Bulletin 2013-04: All Insurers : Qualified Health Plan Fees > Illinois · Agency guidance · In force URL: https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2013-04 ## Section - **Citation:** IL Company Bulletin 2013-04 - **Heading:** All Insurers : Qualified Health Plan Fees - **Jurisdiction:** Illinois - **Kind:** Agency guidance - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Illinois Department of Insurance Company Bulletins / All Insurers : Qualified Health Plan Fees ## Text [LOGO] Illinois Department of Insurance PAT QUINN Governor ANDREW BORON Director TO: ALL INSURERS FROM: ANDREW BORON, DIRECTOR OF INSURANCE AEB DATE: MARCH 20, 2013 RE: BULLETIN # 2013-04 QUALIFIED HEALTH PLAN FEES ## Background Section 1311 of the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010, (together known as the Affordable Care Act) established a Health Benefit Exchange (Exchange) in each state beginning January 1, 2014. On October 16, 2012, Governor Pat Quinn sent a letter to Secretary Kathleen Sebelius of the U.S. Department of Health and Human Services declaring Illinois a Partnership Exchange for plan year 2014 and on November 16, 2012, the Illinois Department of Insurance (DOI) submitted its "Blueprint Application" to the federal Center for Consumer Information and Insurance Oversight (CCIIO) detailing its plans to partner with the federal government to conduct Plan Management and Consumer Assistance activities. The Affordable Care Act (ACA) requires all health plans offered in an Exchange to be certified as a Qualified Health Plan (QHP). As a Plan Management partner in plan year 2014, DOI with the assistance of the Illinois Department of Public Health (DPH) will review QHP applications and recommend applicants that meet the application standards to CCIIO for QHP certification. ## QHP Fees In reviewing QHP applications for compliance with the ACA, DOI's review will include, but not be limited to, the following: (1) Coverage levels and meaningful differences between plan offerings; (2) State licensure; (3) Coverage that is substantially equal to the coverage offered by the Essential Health Benefits benchmark plan; (4) Non-discrimination in benefits offered; (5) Rate review; (6) Marketing; (7) Network adequacy; (8) Service area; and (9) Quality reporting. 100 West Randolph, Suite 9-301 Chicago, Illinois 60601-3395 ge levels and meaningful differences between plan offerings; (2) State licensure; (3) Coverage that is substantially equal to the coverage offered by the Essential Health Benefits benchmark plan; (4) Non-discrimination in benefits offered; (5) Rate review; (6) Marketing; (7) Network adequacy; (8) Service area; and (9) Quality reporting. 100 West Randolph, Suite 9-301 Chicago, Illinois 60601-3395 (312) 814-2420 As part of its administrative costs, DOI will assess the following fees: $3000 per QHP plan submission $1500 per QHP renewal See, e.g., 215 ILCS 5/401, 215 ILCS 122/5-1 et seq., 42 U.S.C. § 18031(d)(4), and 42 U.S.C. § 18031(d)(7). All fees related to the submission and review of each QHP application must be submitted electronically through SERFF with the initial application and be consented to by the issuer before submission of the application. ## Related Documentation - Illinois Qualified Health Plan Application Guidelines - Illinois QHP Application Checklist 100 West Randolph, Suite 9-301 Chicago, Illinois 60601-3395 (312) 814-2420 ## Nearby sections - [IL Company Bulletin 2011-05 All Companies Writing Medical Professional Liability Insurance in Illinois : Illinois Medical Professional Liability Insurance Schedule Rating Plan Guidelines](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2011-05.md) - [IL Company Bulletin 2011-07 All Companies Authorized to Write Health Insurance In Illinois : Nonparticipating Facility-Based Physicians and Providers Dispute-215ILCS 5 / 356z.3a](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2011-07.md) - [IL Company Bulletin 2011-08 All Companies Filing Certain Separate Account Insurance products : The purpose ofthis bulletin is to remind Illinois domestics of the appropriate procedures for seeking approval to establish certain separate accounts.](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2011-08.md) - [IL Company Bulletin 2011-14 All Licensed Property and Casualty Insurers in Illinois Rating Organizations, Advisory Organizations, and Authorized Filers : Mandatory Submission of Property and Casualty Form and Rate/Rule Filings Via NAIC/SERFF](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2011-14.md) - [IL Company Bulletin 2012-08 Licensed Property and Casualty Insureres in Illinois, Rating Organizations, Advisory Organizations, and Authorized Filers : Requesting Confidential Treatment of Data Contained in Filings Subject to Public Disclosure](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2012-08.md) - [IL Company Bulletin 2012-11 All Insurance Companies and Licensed Insurance Producers : Rebating, Value-added Services, Charitable Contributions, Consumer Gifts and Referral Fees](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2012-11.md) - [IL Company Bulletin 2013-04 All Insurers : Qualified Health Plan Fees](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2013-04.md) - [IL Company Bulletin 2013-09 All Insurance Companies and Self-Insured Pools Licensed to Provide Workers' Compensation Coverage in this State : Reaffirmation on the Department's Position on Premium Adjustments after Audit Pursuant to 215 ILCS 5/143.17a](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2013-09.md) - [IL Company Bulletin 2014-01 All Insurers : Filings Requiring Director’s Approval Submitted After December 1st of Any Given Year](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2014-01.md) - [IL Company Bulletin 2014-10 All Insurers : Healthcare for Transgender Individuals](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2014-10.md) - [IL Company Bulletin 2015-03 All Illinois Licensed Property & Casualty Insurance Companies : Terrorism Risk Insurance Program Reauthorization Act of 2015 & Filing Procedures & Requirements for Terrorism Related Forms Rules & Rates](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2015-03.md) - [IL Company Bulletin 2016-02 All Insurers : Illinois-Specific Small Group composite Premium Method](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2016-02.md) - [IL Company Bulletin 2016-08 All Illinois Licensed Workers’ Compensation Companies : Additional Information Request for 2017 NCCI Rate Filing Response](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2016-08.md) - [IL Company Bulletin 2017-01 All Life, Accident & Health Companies, Health Maintenance Organizations, Limited Health Service Organizations, & Voluntary Health Service Plans : Renewals of Existing Transitional Health Plans for Plan Year 2018](https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2017-01.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2013-04. Check the current official text before relying on it. Not legal advice.