Speed To Market tools for health coverage analysts

Here you can find Speed to Market tools, such as checklists, exhibits, and instructions for Health and Binder analysts. 

HCSC

• Checklist - Forms - 2024 HCSC Large Group (Word, 392.18 KB)
• Checklist - Forms - 2024 HCSC Small and Large Group Dental (Word, 164.89 KB)
• Checklist - Forms - 2025 HCSC Small Group Analyst Checklist (Word, 419.37 KB)
• Checklist - Forms - 2025 HCSC Individual Analyst Checklist (Word, 420.27 KB)
• Checklist - Forms - 2025 HCSC SG Stand Alone Dental with Pediatric EHBs (Word, 198.54 KB)
• Checklist - Forms - 2025 HCSC Individual Stand Alone Dental with Pediatric EHBs (Word, 193.21 KB)
• Checklist - Forms - 2025 All Filers Individual Embedded Pediatric Dental with EHBs (Word, 98.40 KB)
• Checklist - Forms - 2024 HCSC Small and Large Group Vision (Word, 152.33 KB)
• Checklist - Forms - 2025 All Filers SG Embedded Pediatric Dental with EHBs (Word, 98.08 KB)

HMO

• Checklist - Forms - 2024 HMO Large Group (Word, 376.89 KB)
• Checklist - Forms - 2025 HMO Small Group Analyst Checklist (Word, 407.29 KB)
• Checklist - Forms - 2025 HMO Individual Analyst Checklist (Word, 419.01 KB)
• Checklist - Forms - 2025 All Filers SG Embedded Pediatric Dental with EHBs (Word, 98.08 KB)
• Checklist - Forms - 2025 All Filers Individual Embedded Pediatric Dental with EHBs (Word, 98.48 KB)

Disability carriers

• Checklist - Forms - 2024 Disability Large Group (Word, 384.19 KB)
• Checklist - Forms - 2025 Disability Small Group Analyst Checklist (Word, 422.65 KB)
• Checklist - Forms - 2025 All Filers Individual Embedded Pediatric Dental with EHBs (Word, 98.40 KB)
• Checklist - Forms - 2025 Disability SG Stand Alone Dental with Pediatric EHBs (Word, 201.64 KB)
• Checklist - Forms - 2025 Disability Individual Stand Alone Dental with Pediatric EHBs (Word, 195.43 KB)
• Checklist - Forms - 2024-2025 School Year Higher Education Student Health Plan (Word, 405.76 KB)
• Checklist - Forms - 2025 Disability Individual Analyst Checklist (Word, 428.89 KB)
• Checklist - Forms - 2024 Disability Group Short Term Plans Analyst Checklist (Word, 183.64 KB)
• Checklist - Forms - 2024 Disability Individual Short Term Plans Analyst Checklist (Word, 192.08 KB)
• Checklist - Forms - 2024 Disability Small and Large Group Dental (Word, 165.92 KB)
• Checklist - Forms - 2024 Disability Small and Large Group Vision (Word, 150.85 KB)
• Checklist - Forms - 2025 All Filers SG Embedded Pediatric Dental with EHBs (Word, 98.08 KB)

Justifications

• For Justification forms visit our Health coverage filing instructions page.

Short Forms

• Short Form ED6 (Excel, 338.97 KB)
• Short Form ED6 (Word, 50.86 KB)

Rate filings

• Checklist - Rates - 2025 Small Group Nongrandfathered Health Plans (Word, 159.89 KB)
• Checklist - Rates - 2025 Individual Nongrandfathered Health Plans (Word, 179.58 KB)
• Checklist - Rates - 2025 EHB Dental Rate Filing (Word, 59.83 KB)
• Checklist - Rates - 2024-2025 School Year Higher Education Student Health Plan (Word, 65.44 KB)
• Certification - Rates - 2025 Mental Health and Substance Use Disorder Financial Reqs (Word, 77.78 KB)
• Certification - Rates - 2025 MHSUD Parity Calculations (Excel, 350.56 KB)
• Checklist - RF - 2025 Individual Medical Uniform Product Modification Justification (Excel, 114.89 KB)
• Checklist - RF - 2025 Small Group Medical Uniform Product Modification Justification (Excel, 119.44 KB)
• Checklist - Rates - 2025 Individual Supplemental Checklist for 1332 Waiver Reporting (Word, 76.85 KB)
• Format - Rates - 2025 Individual Nongrandfathered Health Plan Rate Schedule (Excel, 166.90 KB)
• Format - Rates - 2025 Small Group Nongrandfathered Health Plan Rate Schedule (Excel, 166.97 KB)
• Format - Rates - 2025 Med Benefit Components (Excel, 119.64 KB)
• Format - Rates - WAC 284-43-6660 Summary Duplicate (Excel, 42.71 KB)
• Format - Rates - WAC 284-43-6540 Summary Duplicate (Excel, 43.78 KB)
• Format - Rates - Prestandardized MS Experience WAC 284-55-210 (Excel, 20.85 KB)
• Format - Rates - Standardized MS Experience WAC 284-66-203 (Excel, 20.15 KB)
• STM - Rates - General Disability Guidance (Word, 89.42 KB)
• STM - Rates - Disability Income Guidance (Word, 63.63 KB)
• STM - Rates - Long Term Care Guidance (Word, 76.34 KB)
• STM - Rates - Medicare Supplement Guidance (Word, 65.36 KB)
• STM - Rates - Stop Loss (Word, 66.44 KB)
• STM - Rates - Health - Individual and Small Group (Word, 63.64 KB)
• STM - Rates - Health Dental Vision - Large Group Filings (Word, 75.23 KB)
• STM - Rates - Health Dental Vision - Large Group Rate Manual Guidance (Word, 60.17 KB)
• STM - Rates - Individual and Small Group Dental (Non-SAPD) and Vision Guidance (Word, 84.55 KB)
• STM - Rates - Multiple Large Group Negotiated Rate Filing Template (Excel, 1.72 MB)
• STM - Rates - SAPD - Individual and Small Group (Word, 60.91 KB)
• STM - Rates - Student Health Plans (Word, 60.75 KB)
• STM - Rates - Medicare Supplement Filing Summary (Word, 27.67 KB)
• Rate Schedule Item ED6 (Excel, 1.63 MB)
• Geographic rating area designation WAC 284-43-6701 (PDF, 824.03 KB)

Binder

• Checklist - Binder - PY2025 Individual and Small Group - Unique Plan Design Benefit Crosswalk (Excel, 45.19 KB)
• Snapshot - Binder - PY2025 Individual and Small Group Medical Filings (Duplicate) (Excel, 246.73 KB)
• Snapshot - Binder - PY2025 Individual and Small Group Dental Filings (Duplicate) (Excel, 185.98 KB)
• Exhibit A - Templates Required (Word, 51.18 KB)
• Exhibit B - Washington EHBs on the 2025 Plans Benefits Template (Word, 414.24 KB)
• Exhibit C - Visual Maps of PBT with Washington EHBs (Excel, 60.77 KB)
• Instructions - Binder - SERFF HD General Binder Filing Instructions (Word, 159.84 KB)