Federal Health Insurance
In March 2010, the federal government passed health care insurance reform, which included the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010. Together, these bills are referred to as the Affordable Care Act (ACA). This page contains information, PPACA Plan Year Information, and other resources related to ACA.
Forms & Rates Search System
IRFS is a search system which allows users to search for and download form and/or rate filings submitted by insurance companies to OIR. IRFS is available here.
Plan Year Information
Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2024 Plans
Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2023 Plans Individual PPACA Market Monthly Premiums for Plan Year 2023 Small Group PPACA Market Monthly Premiums for Plan Year 2023 - Individual PPACA Market Monthly Premiums for Plan Year 2023
- Individual Market Health Insurance Plan Distribution by Company 2023
- Individual Market Availability by County
- Family of Four with an Income of $73k Enrolled in an Average Silver Plan
- Single Individual with an Income of $29k Enrolled in an Average Silver Plan
Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2022 Plans Individual PPACA Market Monthly Premiums for Plan Year 2022 Small Group PPACA Market Monthly Premiums for Plan Year 2022 - Individual PPACA Market Monthly Premiums for Plan Year 2022
- Individual Market Health Insurance Plan Distribution by Company 2022
- Individual Market Availability by County
- Family of Four with an Income of $73k Enrolled in an Average Silver Plan
- Single Individual with an Income of $29k Enrolled in an Average Silver Plan
Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2021 Plans Individual PPACA Market Monthly Premiums for Plan Year 2021 Small Group PPACA Market Monthly Premiums for Plan Year 2021 - Individual PPACA Market Monthly Premiums for Plan Year 2021
- Individual Market Health Insurance Plan Distribution by Company 2021
- Individual Market Availability by County
- Family of Four with an Income of $73k Enrolled in an Average Silver Plan
- Single Individual with an Income of $29k Enrolled in an Average Silver Plan
Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2020 Plans Individual PPACA Market Monthly Premiums for Plan Year 2020 Small Group PPACA Market Monthly Premiums for Plan Year 2020 - Individual PPACA Market Monthly Premiums for Plan Year 2020
- Individual Market Health Insurance Plan Distribution by Company 2020
- Individual Market Availability by County
- Family of Four with an Income of $58k Enrolled in an Average Silver Plan
- Single Individual with an Income of $27k Enrolled in an Average Silver Plan
| Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2024 Plans |
| Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2023 Plans | Individual PPACA Market Monthly Premiums for Plan Year 2023 | Small Group PPACA Market Monthly Premiums for Plan Year 2023 |
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| Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2022 Plans | Individual PPACA Market Monthly Premiums for Plan Year 2022 | Small Group PPACA Market Monthly Premiums for Plan Year 2022 |
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| Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2021 Plans | Individual PPACA Market Monthly Premiums for Plan Year 2021 | Small Group PPACA Market Monthly Premiums for Plan Year 2021 |
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| Informational Guidance on Florida's Form & Rate Filing Process for PPACA 2020 Plans | Individual PPACA Market Monthly Premiums for Plan Year 2020 | Small Group PPACA Market Monthly Premiums for Plan Year 2020 |
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ACA - Florida Review Worksheets
OIR developed the following worksheets to assist insurance companies and health maintenance organizations in making form filings that are compliant with the Affordable Care Act (ACA) requirements, effective January 1, 2014.
OIR encourages companies to download, complete, scan and upload these forms as part of all form filings intended to be compliant with the 2014 ACA requirements submitted to OIR via I-File. This will expedite the review process and increase speed to the market.
These worksheets will be updated on a continuing bases as additional federal guidance is provided. You are encouraged to use the most recently updated version. The worksheets may not contain all of the requirements of the ACA. OIR offers these worksheets as guidance only, and should not be considered a directive by OIR.
- HMO Master Group Application (version 5/20/2014)
- HMO Small and Large Group Contract (version 5/21/2015)
- Individual Major Medical Outline of Coverage (version 5/22/2015)
- Individual Major Medical Health CATASTROPHIC Contract (version 5/21/2015)
- Individual Major Medical Contract (version 5/21/2015)
- Major Medical Group Health Application (version 5/20/2014)
- HMO Individual Application (version 5/20/2014)
- Individual Health Application (version 5/20/2014)
- Small and Large Group Major Medical Health Contract (version 5/21/2015)
- HMO Individual Contract (version 5/21/2015)
- Small and Large Group Stand-Alone Dental Contract (version 5/21/2015)
- Stand-Alone Dental Individual Contract (version 5/21/2015)
OIR developed the following worksheets to assist insurance companies and health maintenance organizations in making form filings that are compliant with the Affordable Care Act (ACA) requirements, effective January 1, 2014.
OIR encourages companies to download, complete, scan and upload these forms as part of all form filings intended to be compliant with the 2014 ACA requirements submitted to OIR via I-File. This will expedite the review process and increase speed to the market.
These worksheets will be updated on a continuing bases as additional federal guidance is provided. You are encouraged to use the most recently updated version. The worksheets may not contain all of the requirements of the ACA. OIR offers these worksheets as guidance only, and should not be considered a directive by OIR.
- HMO Master Group Application (version 5/20/2014)
- HMO Small and Large Group Contract (version 5/21/2015)
- Individual Major Medical Outline of Coverage (version 5/22/2015)
- Individual Major Medical Health CATASTROPHIC Contract (version 5/21/2015)
- Individual Major Medical Contract (version 5/21/2015)
- Major Medical Group Health Application (version 5/20/2014)
- HMO Individual Application (version 5/20/2014)
- Individual Health Application (version 5/20/2014)
- Small and Large Group Major Medical Health Contract (version 5/21/2015)
- HMO Individual Contract (version 5/21/2015)
- Small and Large Group Stand-Alone Dental Contract (version 5/21/2015)
- Stand-Alone Dental Individual Contract (version 5/21/2015)