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IRS Proposes Modification to Minimum Value Rule; CMS Proposes 2017 EHB Benchmark Plans
Timothy Jost, in Health Affairs Forefront [Guidance Overview] Sept. 1, 2015 "While the actuarial value standard would apply as of December 31, 2013, the additional requirement for covering substantial physician and hospital services would apply for plan years beginning on or after November 3, 2014 for purposes of determining premium tax credit eligibility.... Along with the 2017 [Essential Health Benefits (EHB)] benchmark plans, CMS also published each state's 2014-2016 benchmark plan and a list of each state's current mandated benefits. An updated list of state mandated benefits will be published later, although coverage benefits enacted after 2011 are presumably not part of the EHB unless the state is prepared to cover their cost for qualified health plans." |
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