The District of Columbia Health Benefit Exchange Authority (DCHBX) has partnered with District-based insurance carriers to offer a variety of affordable and high quality health insurance plans. DC Health Link is a vehicle for insurance carriers to “connect” with Washingtonians who need coverage. Through our comprehensive online marketplace, certified carriers are able to present a variety of qualified health plans (QHPs) for fast and accurate enrollment of individuals, families, and small businesses.
DCHBX Plan Management Program
The DCHBX has designed a comprehensive program to ensure successful partnerships with carriers certified to offer health insurance plans on DC Health Link.
Becoming a Certified Carrier and Qualified Plan Certification
Any willing licensed insurance carrier including insurers, non-profit health service plans, health maintenance organizations (HMOs), dental plan organizations, and consumer operated and oriented plans (Co-Ops) can be authorized to offer qualified plans on DC Health Link as long as the carrier meets federal Affordable Care Act requirements and market participation rules established by the DCHBX Authority Executive Board and District law.
Carrier Reference Manual
The DCHBX has developed a Carrier Reference Manual to provide insurance carriers with details on the process for becoming certified to offer qualified health plans (QHPs) and qualified dental plans (QDPs). This manual is periodically updated as policy, operational, and IT decisions are made so that carriers can keep abreast of key requirements for offering plans on DC Health Link.
Carrier Integration Documents
- Carrier Integration Manual – Insurance carriers may inquire about the guide from [email protected]
Carrier Interface Test Plan – Insurance carriers may inquire about the guide from [email protected]
- 820 Payment Companion Guide – Insurance carriers may inquire about the guide from [email protected]
- 834 Enrollment Companion Guide – Insurance carriers may inquire about the guide from [email protected]
Your Feedback Matters!
The DC Health Benefit Exchange Authority values the continued engagement and feedback from carrier stakeholders. If you have a question or suggestion for how we can partner with insurance carriers, please contact Kenneth Taylor ([email protected]). Additionally, for information on our bi-weekly Plan Management Advisory Committee meetings, visit the DCHBX events calendar or email the Plan Management Operations team at [email protected].
- Affordable Care Act Tax Provisions for Individuals and Families -The Affordable Care Act, or health care law, contains new health insurance coverage and financial assistance options for individuals and families. The IRS will administer the tax provisions included in the law. Visit irs.gov/aca.
- Also visit HealthCare.gov for more information on coverage options and financial assistance.