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Text of OIG Report on Private Health Insurance Submissions to the HealthCare.gov Plan Finder (PDF)
Office of Inspector General [OIG], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Official Guidance]
Apr. 5, 2013

"[G]aps exist in CMS's oversight of private insurers' compliance with Plan Finder reporting requirements. CMS did not conduct targeted followup with insurers that did not report detailed pricing and benefit information. CMS also has not been able to identify the entire population of insurers required to report basic company and product information.... CMS has not asked insurers to certify to the completeness of submitted data in accordance with Federal regulation.... [T]he data displayed on the Plan Finder for the sample of products and plans contained some inconsistencies that may confuse consumers. The products and plans displayed were not always available for sale or were not always recognized by insurers' representatives. When products and plans were available and were recognized, 81 percent of their data displayed on the Plan Finder matched the information provided by insurers' representatives.... [A]dditional efforts are needed to oversee private insurers' compliance with reporting requirements for the HealthCare.gov Plan Finder and to ensure that the data displayed on the Plan Finder are accurate."

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