The State of New Jersey
NJ Department of Banking and Insurance

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About the SEH Program/Regulatory Activity
SEH Program Board
Regulatory Activity
Carrier Resources (Rate Filings)
  1. 2023 Rate Filing Requirements: IHC, SEH, SHP, and ACA-compliant SADP

  2. IHC – Individual
    1. IHC Age Rating Factors
    2. IHC Rate Chart Template
    3. Exhibit A1 - NJ Reinsurance IHC Worksheet

  3. SEH – Small Employer
    1. SEH Age Rating Factors and Territories
    2. SEH Rate Chart Template
    3. Bulletin 20-10: Extended Transition for Certain Health Policies

  4. IHC and SEH
    1. Benefit Summary Table
    2. Exhibit A – Actuarial Summary Worksheet
    3. Exhibit B – Plan Relativity Worksheet
    4. Part II Justification Template
    5. Part III Actuarial Memorandum and Actuarial Certification Template
    6. Bulletin 19-06: Amendment to Minimum Standards for Health Benefits Plans to Facilitate the Availability of Bronze High Deductible Health Plans Effective for Plan Year 2020
    7. IHC and SEH Plan Management
    8. Attachment 1 - NJ OON Law Worksheet (Required also for Large Group Health Benefits Plans)

  5. SHP – Student
    1. Order A16-106: Student Health Plan Rate and Form Filings
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New Jersey Department of Banking and Insurance