State Licensure and Good Standing

In this section of the application, issuers indicate their licensure status and provide documentation that shows they are licensed for the applicable QHP markets, service areas, and products.

Issuers also demonstrate compliance in good standing with all applicable state solvency and regulatory requirements. An issuer must be licensed in the state for which it is applying to satisfy the “good standing” standard.

Key Changes for PY21:
  • No changes for the 2021 QHP Application.

Tips for the State Licensure Section

  • The State Licensure section remains optional for the 2021 QHP Application.
  • Issuers provide licensure documentation for all products and service areas in which they intend to offer a QHP. This applies to all licensed issuers, including any affiliated or other issuers underwriting the dental benefits that the QHP proposes to offer.
  • Issuers submit one form of licensure documentation (state license, COA, certificate of compliance, or the equivalent).
  • If the issuer is not yet licensed and therefore unable to provide licensure documentation during the initial application submission, the issuer submits evidence of licensure during the QHP Application resubmission window.
  • Save documents using the following naming convention: [HIOS Issuer ID]_[Title of Document], for example, “12345_StateLicense.doc,” “12345_COA.doc,” or “12345_CertificateofCompliance.doc.”

Tips for the Good Standing Section

  • The Good Standing section remains optional for the 2021 QHP Application.
  • If the issuer does not comply with the state solvency requirements or the issuer is under corrective action related to financial review, it completes supporting documentation and provides a justification.
  • Save documents using the following naming convention: [HIOS Issuer ID]_[Title of Document], for example, “12345_GoodStanding.doc.”

Application Resources