Qualified Dental and Health Plan Regulatory Filings

The DMHC offers the following checklists, worksheets, and forms to assist health
plans with preparing Individual and Covered California for Small Business Qualified
Health and Dental Plan filings for the Plan Year 2019, in compliance with the Knox-
Keene Act at California Health and Safety Code Sections 1340 et seq. (Act) and
regulations promulgated by the DMHC at California Code of Regulations, title 28

For Qualified Health Plans (QHPs) and Qualified Dental Plans (QDPs) licensed
pursuant to the Act, the DMHC has primary responsibility for regulatory review and
preliminary recommendations with respect to certain selection criteria identified by the
California Health Benefit Exchange (Exchange) in evaluation of whether an applicant
is in “good standing.” All licensure, regulatory and product requirements of the Act
and Rules apply to QHPs and QDPs offered through the Exchange.

2019 Qualified Dental Plan Checklist

QDP Attachment

2019 Qualified Health Plan Checklist

QHP Attachment Filing Worksheet

QHP Attachment Prescription Drug Attestation

QHP Attachment Subcontractor Worksheet