Checklists Life - Accident - Health

Life, Accident, & Health Review Requirements Checklists
Please use the up-to-date checklists provided on this page. Filings submitted with out-of-date checklists will be rejected.

NOTICE: Issuers can access all plan year 2022 checklists and documents on the ACA Issuer Page. The appropriate checklists must be used for all ACA compliant filings. Fees are nonrefundable and not transferrable.
Rate Checklists 

Accident & Health Checklists

NEW FOR ALL FILINGS OFFERING MENTAL HEALTH BENEFITS: The Mental Health Parity Supporting Document template must be attached under the supporting documentation tab of all form filings offering mental health benefits. Filings without this documentation will not be reviewed.


MH/SUD NQTL Comparative Analysis (PA 100-1024) Phase I Template | Instructions

Excess Risk/Stop Loss filings are done on an INFORMATIONAL basis

Life & Annuity Review Requirement Checklists
Note: Documents must be saved as PDFs before uploading to SERFF.


Credit Filings Checklists

Company Filings — All Lines 
Viatical Settlement Review Requirement Checklists