Plan Certification Workgroup
The Plan Certification Workgroup (previously the Plan Management Workgroup) provides a venue for representatives of Washington state’s health and dental insurers to provide input on how to offer individual and small group health plans through Washington Healthplanfinder. Learn more about offering plans on Washington Healthplanfinder.
Members
The Plan Certification Workgroup is open to all health and dental insurance carriers interested in the Washington Health Benefit Exchange.
2023
- 2023 Premium Sponsorship Policy
- 2023 834 Companion Guide
- 2023 820 Companion and Process Guide
- 2023 Carrier Enrollment Payment and Process Guide
- 2023 Cross Mapping Form
- 2023 QHP Participation Agreement Final
- 2023 QDP Participation Agreement Final
- 2023 Family Dental SBC
- 2023 Family Dental SBC - Spanish
- 2023 Pediatric Dental SBC
- 2023 Pediatric Dental SBC - Spanish
- 2023 QHP & QDP Issuer Submission Form
- 2023 Standard Plan Design Charts
- 2023 Medical AV Certification
- Final 2023 QHP Guidance for Participation
- Final 2023 QHP Guidance for Participation with cumulative track changes
- Final 2023 Plan Certification timeline
- Final 2023 Plan Certification Operational Chart
- Slide deck containing WAHBE's responses to carrier comments on the draft 2023 Guidance
- Final QDP Guidance for Participation
Quality Materials
2022
- 2022 Enrollment Payment and Process Guide
- 2022 834 Companion Guide
- 2022 Exchange Cross Mapping Form
- 2022 HBE QDP Participation Agreement
- 2022 HBE QHP Participation Agreement
- 2022 Standard Plans
- 2022 Standard Plan AV Certification
- 2022 QHP & QDP Issuer Submission Form
- 2022 QDP Guidance for Participation (final)
- 2022 QHP Guidance for Participation – Comments
- 2022 QHP Guidance (final)
- 2022 QHP Guidance (Redline – draft to final)
- 2022 QDP Guidance for Participation (draft)
- 2022 Plan Certification Timeline
- 2022 Plan Certification Tracker
Quality Materials
2021
- 2021 Carrier Enrollment and Payment Process Guide
- 2021 834 Companion Guide
- 2021 Exchange Cross Mapping Form
- 2021 EDI Trading Partner Agreement
- 2021 QHP HBE Participation Agreement
- 2021 HBE QDP Participation Agreement
- 2021 QHP Guidance for Participation - Amended (June 10)
- 2021 QHP Guidance for Participation - Amended with Track Changes (June 10)
- 2021 QHP Guidance for Participation - Amended (April 29)
- 2021 QHP Guidance for Participation - Amended with Track Changes (April 29)
- 2021 Standard Plans - April
- 2021 QHP Guidance for Participation
- 2021 QDP Guidance for Participation
- 2021 Certification Process Timeline Amended (June 24)
- 2021 QHP & QDP Issuer Submission Form
Quality Materials
2020
- QHP Participation Agreement
- QDP Participation Agreement
- Exchange Cross Mapping Form
- 2020 QHP Guidance for Participation
- 2020 QDP Guidance for Participation
- 2020 Certification Process Timeline
- 2020 QIS Implementation Form
- 2020 QIS User Guide
- 2020 QHP & QDP Issuer Submission Form
- 834 Enrollment Transaction Companion Guide
- Enrollment & Payment Process Guide
- 2020 QHP & QDP Plan Certification Packet Requests
