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Resource Documents


Resources provided below will continue to be updated for the 2018 Plan Year.

Ohio Essential Health Benefits

Ohio Essential Health Benefit Resource Document for 2017 Plan Year​

*NOTE - This resource document includes important clarifications to ensure compliance with the law.


Benchmark Plans for 2017 & 2018 Plan Years

Medical - Community Insurance Company (Anthem BCBS) - Blue Access PPO - Standard Opt D55
Pediatric Dental -  MetLife Federal Dental Plan - High Option
Pediatric Vision - FEP Blue Vision - High Option
​​Habilitative​ Services - Governor's Habilitative Services Letter

Prescription Drug EHB Reference - Benchmark Plan Rx Listing by Category and Class


​ACA Rating Areas


New!  ​2018 PY Essential Community Providers in Ohio

ECPs in Ohio from CMS PY 2018 Non-exhaustive List


​Industry Training PowerPoint Presentations

New!   2018 PY Major Medical Form, Rate, and Binder Industry Training-3/7/2017

2017 PY Major Medical Form and Rate Industry Training-3/24/2016 

2017 PY QHP Binder Industry Training-4/14/2016​



Frequently Asked Questions for Previous Plan Years​
2013 ODI Plan Management Toolkit Frequently Asked Questions for 2014 Plan Year
2014 ODI Plan Management Toolkit Frequently Asked Questions for the 2015 Plan Year​
2015 ODI Plan Management Toolkit Frequently Asked Questions for the 2016 Plan Year​







The State of Ohio is an Equal Opportunity Employer

Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
John Kasich, Governor | Jillian Froment, Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | OSHIIP Hotline: 800-686-1578