Communication with the Exchange
Insurance carriers are encouraged to email the Exchange with any questions or concerns.
View rate filings on the Nevada Division of Insurance Site
Questions? Send an email to the Plan Management team at: pmanagement@exchange.nv.gov
Plan Year 2021 Information
Silver State Health Insurance Exchange Guidelines
The links below contain Plan Year 2021 Exchange Carrier Guidelines for both QDP and QHP carriers.
- Plan Year 2021 Final Letter to Issuers
- Plan Year 2021 Draft Letter to Issuers Fact Sheet
- Plan Year 2021 Draft Letter to Issuers
- Plan Year 2021 SSHIX Plan Certification
- Plan Year 2021 SSHIX QHP Checklist
- Plan Year 2021 SSHIX QDP Checklist
- Plan Year 2021 SSHIX Data Change Request
- Plan Year 2021 SSHIX State Authorization Request
The links below contain Plan Year 2020 Forms:
- Plan Year 2021 Intent to EDI Test
- Plan Year 2021 Intent to Sell
- Plan Year 2021 Supplemental Templates (Required)
Plan Year 2021 Policy Manual (Draft)
SSHIX is releasing the Plan Year 2021 Draft Policy Manual for feedback and comments. Public comment will be accepted for 30 days until September 4, 2020. Please provide comments and feedback to Jamie Sawyer, SSHIX Policy and Compliance Manager, at jlsawyer@exchange.nv.gov and Justin Prazak, SSHIX Policy Analyst, at jprazak@exchange.nv.gov.
Nevada Health Link Draft Policy Manual Version 2
Plan Year 2020 Information
Silver State Health Insurance Exchange Guidelines
The links below contain Plan Year 2020 Exchange Carrier Guidelines for both SADP and QHP carriers.
- SSHIX PY2020 Exchange Carrier Guidelines (ZIP)
- PY2020 Letter to Issuers (PDF)
- Nevada On Exchange Service Areas
The links below contain Plan Year 2020 Forms:
- Data Change Request From PY20
- State Authorization PY20
- Plan Withdrawal Request PY20
- Intent to sell PY20
Plan Certification and Network Adequacy
- Model QHP Addendum for Indian Health Care Providers
- Network Adequacy for Stand Alone Dental Plans on Exchange
- SSHIX Plan Certification Guide
Calendar Year 2020 Carrier Fees
Adoption Hearing February 14, 2019 for Calendar Year 2020
Calendar Year 2021 Carrier Fees
Adoption Hearing January 22, 2020 for Calendar Year 2021
How to Contact Your Insurance Carrier
If you have purchased a Health Plan of Nevada (HPN) plan, you can access your account on their website or you can call HPN toll-free: 1-800-777-1840
If you have purchased an AmBetter by SilverSummit health plan, you can access your account on their website or you can call AmBetter by SilverSummit toll-free: 1-866-263-8134
If you have purchased an Anthem HMO Colorado health plan, you can access your account on their website or you can call Anthem toll-free: 1-866-755-2680
Resources for Carriers
- CMS Portal
- CMS Website: cms.gov – General information on the ACA and QHP application process.
- Division of Insurance: Plan Year 2019 Health Benefit and SADP Timeline
- Final Annual Issuer Letter 2020
- Final Payment Notice 2020
- Final Annual Issuer Letter 2019
- Final Payment Notice 2019
- Plan Management Community: Log in via your CMS portal
- REGTAP website: regtap.info – Training and meeting materials.
- Specific plan management information: Qualified Health Plan Certification and QHP Certification
- SSHIX Reinstatement Request Form
Nevada Health Link Brand Standards
- Download our Brand Standards Guide here. Should you have questions, please email Janel Davis at j-davis@exchange.nv.gov
