PRIVATE (VOLUNTARY) PLAN FILING REQUIREMENTS State Funding Options Filing process California Insured and Self funded Must have one right or benefit better than the state Majority employee vote Application recommended submission 30 days before requested start date Security deposit required Annual report due by Feb 15 of following year Colorado Insured and Self funded Effective date is later of effective date as described in private plan policy or 60 days from date application is submitted $500 application fee Plans expire 8 years after the effective date Connecticut Insured and Self funded First of quarter after approval which must be made 30 days in advance Majority employee vote Plans expire 3 years after the effective date Delaware Insured and Self funded (SF must have 100 participants) First of quarter after approval which must be made 30 days in advance Employers new to DE have 30 days to apply for a private plan Self funded plans must post bond Plans expire on an annual basis Washington D.C. No private plans allowed Hawaii Private plans only (no state plan) Insured and Self funded Plan must be approved by TDI division prior to going into effect Certification of Insurance must be submitted within 30 days of purchase of insurance Maine Insured and Self funded Exemption takes effect first day of the quarter with 30 days prior submission $250 application fee Approved substitution is valid for 3 years Maryland (January 1, 2027) Insured and Self funded Application process forthcoming $100 - $1,000 application fee This document is strictly private, confidential and personal to its recipients and should not be copied, distributed or reproduced in whole or in part, nor passed to any third party // 22