This page provides information specific to measures past by the NAIC's Joint Executive & Plenary Committee in 2010, regarding the implementation of The Patient Protection and Affordable Care Act (PPACA; P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152).

• American Health Benefit Exchange Model Act
• Health Carrier Grievance Procedure Model Act (#72)
• Model Language for Prohibition on Preexisting Condition Exclusions for Individuals under the Age of 19
• Model Language for Lifetime and Annual Limits
• Model Language for Preventive Services
• Model Language for Prohibition on Rescissions of Coverage
• Model Language for Dependent coverage for Individuals to Age of 26
• Model Language for Choice of Health Care Professional
• Standard Definitions and Summary of Benefits Coverage
  • Letter to Secretary Sebelius
  • Glossary
  • Summary of Benefits and Coverage
  • Sample Completed Summary of Benefits and Coverage
  • Why This Matters Language for Yes Answers
  • Why This Matters Language for No Answers
  • Instruction Guide for Individual Insurers
  • Instruction Guide for Group Insurers
• Rate Filing Disclosure Form and Project Summary
• Utilization Review and Benefit Determination Model Act (#73)

MLR MODEL REGULATION (adopted by NAIC 10/21/10): Regulation for Uniform Definitions and Standardized Rebate Calculation Methodology for Plan Years 2011, 2012, 2013... (PDF)

• Summary
• Pre-adoption draft with 10/21/10 considered amendments
• Combined Comments as of 10/21/10

Oct. 13, 2010 Letter to Secretary Sebelius, U.S. Dept of HHS — MLR issues not mandated by PPACA to the NAIC (PDF).

Medical Loss Ratio (MLR) Blanks Proposal
(Adopted 8/17/10)

NAIC Resolution to Protect the Ability of Licensed Insurance Professionals to Continue to Serve the Public
(Adopted 8/17/10)