Insurance Exchanges
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- 02/28/2013
HHS released the final rule on essential health benefits (EHB), actuarial value, and accreditation of qualified health plans. This rule finalizes the state benchmark approach for defining EHB in 2014 and 2015. It also sets forth limits on cost-sharing, allows for a slight leeway – plus or minus 2 percent – in the actuarial value of the metal level requirements, and finalizes the drug coverage requirements in the exchange.
- 01/31/2013
HHS released joint Medicaid and exchange proposed rules addressing appeals and notices, eligibility and enrollment, Alternative Benefit Plans, and Medicaid cost-sharing.
- 12/06/2012
This final Blueprint includes the declaration letter and application form which must be submitted by a state that elects to operate a state-based or partnership exchange
- 12/06/2012
The U.S. Office of Personnel Management (OPM) has issued a proposed rule to implement the Multi-State Plan Program (MSPP).
- 07/18/2012
The final rule outlines the data health plans must provide to determine whether they meet essential health benefit standards, and establishes a process for recognizing entities to certify qualified health plans.
