Dental Filings - Associated Forms, Instructions and Exhibits

• Guidance for Stand-Alone Dental Filings (PDF)
  (for Individual and Small Group Stand-Alone Dental Policies offered Inside and Outside of NYSOH)
• 2023 Rate Submission Instructions for NYSOH-Certified Stand-Alone Dental Plans (PDF)
• 2023 Stand-Alone Dental Plan Experience Exhibit for Policy Year 2021 (Excel)
• 2023 Stand-Alone Dental Plan Experience Exhibit for First Quarter of Policy Year 2022 (Excel)
• 2023 Stand-Alone Dental Plan Supplemental Monthly Data Exhibit (Excel)
• QDP 2023 Filing Instructions in SERFF (PDF)
  (for stand-alone dental binders for individual and small group products offered inside and outside of NYSOH)