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Multi-State Plan Program Application

Solicitation Number: OPM35-12-R-0006
Agency: Office of Personnel Management
Office: Healthcare and Insurance
Location: Healthcare and Insurance
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Combined Synopsis/Solicitation
Added: Sep 20, 2012 4:46 pm Modified: Jan 18, 2013 11:18 amTrack Changes
The U.S. Office of Personnel Management (OPM) announces the opening of the first Multi-State Plan Program (MSPP) application period by releasing our final application for health insurance issuers who wish to apply for participation as an MSPP Issuer in Affordable Insurance Exchanges for 2014.

Issuers must apply through OPM's web-based MSPP Application Portal (Portal), which we expect to be available to receive applications beginning in February. We are publishing this paper application now so that issuers can review and familiarize themselves with the application questions, assemble their response team and begin to prepare responses.

An issuer interested in participating in the MSPP may begin the application process by submitting a Notice of Intent to Apply (NOI) with the following information via email to

Subject Line: Notice of Intent to Apply

Contact Name
Phone Number
Email address

Issuer Legal Name
Issuer Marketing Name (if different)
Street Address
City, State, ZIP
National Association of Insurance Commissioners (NAIC) Code

Once OPM confirms the entity submitting the NOI represents a health insurance issuer or group of issuers with potential nationwide scope, we will contact you with instructions on how and when to access the Portal.

Submitting a NOI is not binding and does not commit an issuer to become an MSPP Issuer. However, an issuer cannot submit an application without first submitting a NOI.

An Applicant User Guide will be available at the time the Portal opens.

There are a number of templates that will accompany an application. Three of these templates are OPM-specific. Two are included here; the third will be posted as soon as it is final. The attached templates are:

• MSPP Financial Ratings Template
• MSPP Enrollment History Template

The template not yet available is the MSPP Participating Provider Template.

For the remaining templates, OPM intends to use those created by the Centers for Medicare & Medicaid Services for qualified health plans for MSPP applicants to submit information, including rates and benefits. These templates will be used by the Federally-facilitated Exchanges as well as by the NAIC's System for Electronic Rate and Form Filing in support of State-based Exchanges. Since those remain in draft, we do not include them here. The draft templates are available at:

If you have questions, please write us at .

Note:  This final application represents policies included in proposed regulations for the MSPP. Accordingly, OPM reserves the right to modify this application, as necessary, and to request additional information from applicants.


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Draft Application

Other (Draft RFPs/RFIs, Responses to Questions, etc..)
Draft Application
Posted Date:
September 20, 2012
Description: Cover letter to accompany draft MSPP application
Description: Draft MSPP Application
Description: Draft MSPP Application Appendix A Section I
Description: Draft MSPP Application Appendix A Section II
Description: Draft MSPP Application Appendix A Section III
Description: Draft MSPP Application Appendix A Section IV
Description: Draft MSPP Application Appendix B
Description: Draft MSPP Application Appendix C
Description: Draft MSPP Application Appendix D
Description: Draft MSPP Application Appendix E
Description: Comment Template

Amendment 1

Posted Date:
January 18, 2013
Description: MSPP Application
Description: Enrollment Template
Description: Financial Rating Template
1900 E Street NW, RM 2H28
Washington, District of Columbia 20415
United States
Laurie Bodenheimer
Phone: 202-606-1572