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HHS Proposal Places Greater Emphasis on Summary of Benefits and Coverage
HighRoads
Dec. 2, 2014
"For payers participating in the public marketplace, [CMS] is proposing to ... require individual payers to provide an SBC for 'plan variations,' which essentially are reduced cost-sharing options for essential health benefits, as part of the Qualified Health Plan (QHP) process.... [T]here have been rumblings that HHS, DOL and IRS are considering adding coverage examples beyond diabetes and child birth.... In addition, after three years of minimal change, there's a possibility that the SBC format could change for the 2016 plan year."
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