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[]
[null,"Overview of All QHP Application Review Tools (2025 Version 1.1)"]
[null,"Use of tools by state regulators is optional. States may use any tools or parts of tools they believe will assist in their review process. These tools are methods for reviewing for compliance with specific standards. Any alternative state review methods must be consistent with federal standards, but need not be identical to the approach methods via these tools."]
[null,"Use of tools by issuers is optional. Issuers are encouraged to use these tools proactively before submitting their QHP applications and can also reference them when a state or federal regulator requests corrections after a review that relied on these tools. However, please note that issuers must respond to any deficiencies identified by a state or federal regulator even if an identified issue is different than the results obtained using these tools. "]
[null,"Use of these tools by CMS and states.  CMS plans to use these tools in Federally-Facilitated Marketplaces (FFMs) for those standards that are specific to certification of QHPs. This includes certification standards for Federally-facilitated Small Business Health Options Program (FF-SHOP). For more information on the FFM certification process and related standards, please see the “2025 Letter to Issuers in the Federally-facilitated Marketplaces” available on the CCIIO website under Regulations and Guidance.\n\nIssuers in states performing plan management functions may contact their state regulator to determine if one or more of these review tools will be part of their review processes. CMS will review and confirm the state's QHP certification recommendations and make final QHP certification decisions. CMS will work closely with states that are performing plan management functions to coordinate this process.\n"]
[null,"Disclaimer:  The ability to use the automated portions of these tools is contingent on any given state and issuer using the federally developed templates for QHP applications. The results generated in all tools depend on complete and accurate QHP application data. To ensure the validity of their data, CMS recommends that issuers run the Data Integrity Tool (DIT) before using these review tools. "]
[null,"The available stand-alone tools are as follows:"]
[null,"Tool","Function"]
[null,"Data Consolidation Tool","This tool aggregates data from the Plans & Benefits, Service Area, and Essential Community Provider (ECP)/Network Adequacy (NA), and Prescription Drug templates and serves as a data input file to the other stand-alone tools."]
[null,"QHP Essential Community Providers (ECP) Tool and SADP ECP Tool","Note: These tools should only be used by issuers operating in states that use the State Based Exchange (SBE) model. Issuers in states that use the Federally-facilitated Exchange (FFE), states performing plan management functions, or State Based Exchange using the Federal Platform (SBE-FP) model must use the Marketplace Plan Management System to obtain ECP review results.\n\nThese tools calculate the total number of ECPs an issuer has in each plan's network and compare this to the number of available ECPs in that service area. The tools will check whether the percentage of the plan's networked ECPs is equal to or greater than the ECP threshold (as defined by federal or state regulators) to demonstrate satisfaction of the ECP inclusion standard set forth in 45 C.F.R. 156.235."]
[null,"Non-Discrimination Tool","This tool performs an outlier analysis for \"QHP Discriminatory Benefit Design\" as discussed in the Letter to Issuers. It looks at all plans within the state, goes through a group of pre-determined benefits and determines if any plan has a significantly higher copay or coinsurance for those benefits, which could potentially mean that the coverage is discriminatory. For CMS's review, A plan will be considered deficient if it has been calculated as an outlier at both the state and national levels. Note: As this tool requires data from ALL issuers in a state, the tool will not yield meaningful results if run by a single issuer."]
[null,"Cost Sharing Tool","This tool runs 5 different checks (when they are applicable to the plan) for cost sharing standards. This includes: Maximum Out of Pocket Maximum (MOOP) Review, Cost Sharing Reduction (CSR) Plan Variation Review, Standardized Plan Design Review, Catastrophic Plan Review, and Expanded Bronze."]
[null,"Category Class Drug Count Tool","This tool compares the count of unique chemically distinct drugs in each USPv9 category and class for each drug list submitted against the state's benchmark."]
[null,"Formulary Review Suite","The Formulary Review Suite includes the Non-Discrimination Formulary Outlier and Clinical Appropriateness reviews, described below."]
[null,"Non-Discrimination Formulary Outlier Review","Identifies and flags as outliers those plans that have unusually large numbers of drugs subject to prior authorization and/or step therapy requirements in 28 USP classes. Note: As this tool requires data from ALL issuers in a state, the tool will not yield meaningful results if run by a single issuer."]
[null,"Non-Discrimination Clinical Appropriateness Review","This review analyzes the availability of covered drugs associated with ten conditions (asthma, bipolar disorder, breast cancer, diabetes, hepatitis C virus, HIV, multiple sclerosis, opioid use disorder, prostate cancer, rheumatoid arthritis, and schizophrenia), as recommended in clinical guidelines, to ensure that issuers are offering a sufficient type and number of drugs.\n"]
[null,"Non-Discrimination Adverse Tiering Review","This review checks that a plan’s prescription drug benefit design does not discourage enrollment by covering most or all drugs necessary for the treatment of high-cost and chronic conditions on the highest cost-share tier. The conditions evaluated are hepatitis C virus, HIV, multiple sclerosis, and rheumatoid arthritis."]
[null,"Review Process Guide","This is a stand-alone file that provides model step-by-step processes that state regulators could follow to review QHP applications for compliance with specific PPACA standards. This includes descriptions of the backend functionality in the other automated review tools."]
[null,"Overview of Tools:"]
[null,"Each tool contains detailed instructions on how to operate it, and which issuer templates are used as data input. The first step in the Data Consolidation Tool is to import data from issuers' Plans & Benefits, Service Area, ECP/NA, and Prescription Drug templates. Most of the stand-alone tools will then import their data from this data in the Data Consolidation Tool."]
[null,"If using any of the stand-alone tools described above, it is recommended that you review the validation steps located within the Data Consolidation Tool to better understand the logic behind the tool and see where justifications may be submitted."]
[null,"For the tools to run it is imperative that the worksheet names, format, and overall structure of the tools are not changed (e.g. adding or deleting rows or column, changing field names, copying or deleting worksheets), as this could severely impair the functioning of the tool macros. However, filters have been added to the table headings in many of the stand-alone tools, and these may be used without disrupting tool use."]
[null,"These tools can be run for the following plan types: only plans that are offered on the exchange, only plans that are offered off the exchange, or for all submitted standard plans, both on and off the exchange. All of these review standards apply to plans that are on the exchange, but not all of them apply to plans that are off the exchange. The Data Consolidation Tool will grey out reviews when they are not applicable on the \"Review Summary\" tab, and the off exchange plans will not be listed on the review tabs of the standards which are not applicable. "]
[null,"To get started, review the \"Instructions\" tab in this workbook and read all sections of the Instructions before beginning."]

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[]
[null,"Instructions for Setting Up for Data Import"]
[null,"This tool can be used by an issuer to evaluate all of their plans, or by a state to evaluate issuers individually or to evaluate all issuers that have submitted plans for your state. It will pull in data from the issuers' Plans & Benefits templates, Service Area templates, Essential Community Provider (ECP)/Network Adequacy (NA) templates, and Prescription Drug templates, and use that data for further reviews of the plans. Follow the steps below to pull in data for each template. Note: Be sure to save this file after each data import process has completed."]
[null,"For this tool, and all stand-alone tools, make sure you have macros enabled within Excel."]
[null,"Importing Data from the Plans & Benefits, Service Area, and ECP Templates"]
[null,"1.","For States: Download the Excel versions of issuers' Plans & Benefits, Service Area, ECP/NA, and Prescription Drug templates from HIOS or SERFF. \nFor Issuers: Complete, validate, and save the Excel versions of these templates. It is also recommended that issuers run the Data Integrity Tool (DIT) before using this tool, to ensure the validity of their data. "]
[null,"2.","All Excel templates need to be saved in their own folders before importing.\nSave all of the Plans & Benefits templates into one folder (i.e. \"Plans & Benefits Templates\" folder).\nSave all Service Area templates into one folder (i.e. \"Service Area Templates\" folder).\nSave all ECP/NA templates into one folder along with any ECP/NA Worksheet files (i.e. \"ECP NA Templates\" folder).\nSave all Prescription Drug templates into one folder (i.e. \"Rx Drug Templates\" folder)."]
[null,"3.","WARNING!: The import processes may take several minutes, upwards of half an hour, to run depending on the number of templates and plans that have to be processed. You will know that the import has finished processing when the pop-up telling you the data import is complete appears or you receive an error message stopping the import. Until one of these appears, please do not try to use Excel, as doing so may cause the tool to take longer and/or fail. If you receive an error message, either try to fix the problem on the template, or remove the associated template (or worksheets) from the folder until the issue has been resolved. If this happens you will need to restart the import process."]
[null,"4.","Click the button below to populate the \"All Plan Data\" tab. A window will pop up asking you to select the folder where all of the Plans & Benefits templates were saved (as determined in step 2). Navigate to this folder and click once on the folder name; the selected folder's name should appear near the bottom of the pop up window. Next, click the \"Select Folder\" button in the pop up window. Data will begin loading into the \"All Plan Data\" tab. This import process will pull in Benefits Package and Cost Share Variances data for each standard plan and each associated plan variation for all Plans & Benefits Templates saved in the selected folder. Save this file after the data import has completed."]
[]
[null,"5.","Click the button below to populate the \"All Service Area Data\" tab.  A window will pop up asking you to select the folder where all of the Service Area templates were saved (as determined in step 2). Navigate to this folder and click once on the folder name; the selected folder's name should appear near the bottom of the pop up window. Next, click the \"Select Folder\" button in the pop up window. Data will begin loading into the \"All Service Area Data\" tab. This import process will pull in Service Area data for all Service Area template files saved in the selected folder. Save this file after the data import has completed."]
[]
[null,null,"After importing the Plans & Benefits data and Service Area data, the \"Run Silver/Gold Plan Review\" button will also validate that all issuers offer at least one silver plan and one gold plan in each county they cover. The results will appear in the \"SilverGoldOutput\" tab."]
[null,"6.","Note: This step should only be used by issuers operating in states that use the State Based Exchange (SBE) model. Issuers in states that use the Federally-facilitated Exchange (FFE), states performing plan management functions, or State Based Exchange using the Federal Platform (SBE-FP) model must use the Marketplace Plan Management System to perofmr all ECP related activities.\n\nClick the button below to populate the \"All ECP Data\" tab.  A window will pop up asking you to select the folder where all of the NA templates and associated Available ECP Write-in Worksheets were saved (as determined in step 2). Navigate to this folder and click once on the folder name; the selected folder's name should appear near the bottom of the pop up window. Next, click the \"Select Folder\" button in the pop up window. Data will begin loading into the 'All ECP Data' tab. This import process will pull in ECP data for all NA template files saved in the selected folder. Save this file after the data import has completed."]
[]
[null,"7.","Indicate whether your submissions include separate Prescription Drug Templates for the Individual and SHOP marketplaces. Select Yes or No from the selection box to the right.\n\nIn states that collect templates in SERFF, issuers may submit separate sets of templates for Individual and SHOP plans. In this case, an issuer can submit two drug lists with the same issuer ID (one for the Individual marketplace and one for the SHOP marketplace). ","Do you have separate Individual and SHOP Prescription Drug Templates?"]
[null,null,null,"No"]
[null,null,"In order for this tool to distinguish between these two drug lists, you will need to indicate that you have separate Individual and SHOP Prescription Drug Templates using the selection box above.\n\nThe tool will only prompt the user once for the location of Prescription Drug Templates, regardless of the selection in the dropdown menu in cell D17. If the user selects \"Yes\" in cell D17, then the user must save all templates with either IndTemp or SHOPTemp in the file name or the data will not import.\n\nClick the button below to populate the \"All Formulary Tier Data\" tab.  A window will pop up asking you to select the folder where all of the templates were saved (as determined in step 2). Navigate to this folder and click once on the folder name; the selected folder's name should appear near the bottom of the pop up window. Next, click the \"Select Folder\" button in the pop up window. Data will begin to load. This import process will pull in data for all template files saved in the selected folder. Save this file after the data import has completed."]
[]
[]
[null,"Instructions for Using the Data Consolidation Tool "]
[null,"There are a number of tabs in this workbook, the following explains how to use them."]
[null,"Tab","Use/Explanation"]
[null,"All Plan Data","This tab will be populated by the \"Import all Plans & Benefits Data\" button above.  It contains one line for each standard plan and each associated plan variation and has columns detailing basic plan data, out of pocket maximum and deductible values, and cost sharing for each of the benefits.  This tab is also used to populate the Review Summary and Standard Review tab headers, and also serves as an input to many of the stand-alone tools."]
[null,"All Service Area Data","This tab will be populated by the \"Import all Service Area Data\" button above.  It has a column for the issuer ID and then has the same headers as the Service Area template.  It may be used for reference and will also be used as an input to perform the ECP and Meaningful Difference reviews using the stand-alone tools."]
[null,"All ECP Data","This tab will be populated by the \"Import all ECP Data\" button above.  It has a column for the issuer ID and then has similar headers as the NA template.  It may be used for reference and will also be used as an input to perform the ECP review using the stand-alone tools."]
[null,"All Formulary Tier Data","This tab will be populated by the \"Import all Prescription Drug Data\" button above.  It has a column for the issuer ID and then has the same headers as the prescription drug template.  It may be used for reference and will also be used as an input to perform the drug reviews using the stand-alone tool."]
[null,"SilverGoldOutput","This tab provides the output for the silver/gold review to ensure there is at least one silver and one gold plan offered in each county that an issuer covers. "]

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[null,"Plans & Benefits Template Data Extract",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Maximum Out of Pocket for Medical EHB Benefits",null,null,null,null,null,null,null,"Maximum Out of Pocket for Drug EHB Benefits",null,null,null,null,null,null,null,"Maximum Out of Pocket for Medical and Drug EHB Benefits (Total)",null,null,null,null,null,null,null,"Medical EHB Deductible",null,null,null,null,null,null,null,null,null,"Drug EHB Deductible",null,null,null,null,null,null,null,null,null,"Combined Medical and Drug EHB Deductible",null,null,null,null,null,null,null,null,null,"SBC Scenario",null,null,null,null,null,null,null,"Primary Care Visit to Treat an Injury or Illness",null,null,null,null,null,null,null,null,null,null,null,"Specialist Visit",null,null,null,null,null,null,null,null,null,null,null,"Other Practitioner Office Visit (Nurse, Physician Assistant)",null,null,null,null,null,null,null,null,null,null,null,"Outpatient Facility Fee (e.g., Ambulatory Surgery Center)",null,null,null,null,null,null,null,null,null,null,null,"Outpatient Surgery Physician/Surgical Services",null,null,null,null,null,null,null,null,null,null,null,"Hospice Services",null,null,null,null,null,null,null,null,null,null,null,"Routine Dental Services (Adult)",null,null,null,null,null,null,null,null,null,null,null,"Infertility Treatment",null,null,null,null,null,null,null,null,null,null,null,"Long-Term/Custodial Nursing Home Care",null,null,null,null,null,null,null,null,null,null,null,"Private-Duty Nursing",null,null,null,null,null,null,null,null,null,null,null,"Routine Eye Exam (Adult)",null,null,null,null,null,null,null,null,null,null,null,"Urgent Care Centers or Facilities",null,null,null,null,null,null,null,null,null,null,null,"Home Health Care Services",null,null,null,null,null,null,null,null,null,null,null,"Emergency Room Services",null,null,null,null,null,null,null,null,null,null,null,"Emergency Transportation/Ambulance",null,null,null,null,null,null,null,null,null,null,null,"Inpatient Hospital Services (e.g., Hospital Stay)",null,null,null,null,null,null,null,null,null,null,null,"Inpatient Physician and Surgical Services",null,null,null,null,null,null,null,null,null,null,null,"Bariatric Surgery",null,null,null,null,null,null,null,null,null,null,null,"Cosmetic Surgery",null,null,null,null,null,null,null,null,null,null,null,"Skilled Nursing Facility",null,null,null,null,null,null,null,null,null,null,null,"Prenatal and Postnatal Care",null,null,null,null,null,null,null,null,null,null,null,"Delivery and All Inpatient Services for Maternity Care",null,null,null,null,null,null,null,null,null,null,null,"Mental/Behavioral Health Outpatient Services",null,null,null,null,null,null,null,null,null,null,null,"Mental/Behavioral Health Inpatient Services",null,null,null,null,null,null,null,null,null,null,null,"Substance Abuse Disorder Outpatient Services",null,null,null,null,null,null,null,null,null,null,null,"Substance Abuse Disorder Inpatient Services",null,null,null,null,null,null,null,null,null,null,null,"Generic Drugs",null,null,null,null,null,null,null,null,null,null,null,"Preferred Brand Drugs",null,null,null,null,null,null,null,null,null,null,null,"Non-Preferred Brand Drugs",null,null,null,null,null,null,null,null,null,null,null,"Specialty Drugs",null,null,null,null,null,null,null,null,null,null,null,"Habilitation Services",null,null,null,null,null,null,null,null,null,null,null,"Outpatient Rehabilitation Services",null,null,null,null,null,null,null,null,null,null,null,"Chiropractic Care",null,null,null,null,null,null,null,null,null,null,null,"Durable Medical Equipment",null,null,null,null,null,null,null,null,null,null,null,"Hearing Aids",null,null,null,null,null,null,null,null,null,null,null,"Imaging (CT/PET Scans, 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Testing",null,null,null,null,null,null,null,null,null,null,null,"Chemotherapy",null,null,null,null,null,null,null,null,null,null,null,"Radiation",null,null,null,null,null,null,null,null,null,null,null,"Diabetes Education",null,null,null,null,null,null,null,null,null,null,null,"Prosthetic Devices",null,null,null,null,null,null,null,null,null,null,null,"Infusion Therapy",null,null,null,null,null,null,null,null,null,null,null,"Treatment for Temporomandibular Joint Disorders",null,null,null,null,null,null,null,null,null,null,null,"Nutritional Counseling",null,null,null,null,null,null,null,null,null,null,null,"Reconstructive Surgery"]
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["PlanBenefitWorkbookName","BenefitsPackage","HIOSIssuerID","MarketCoverage","DentalOnlyPlan","HIOSPlanID(StandardComponent)","PlanMarketingName","HIOSProductID","NetworkID","ServiceAreaID","FormularyID","PlanType","LevelofCoverage","DesignType","UniquePlanDesign?","QHP/Non-QHP","Child-OnlyOffering?","HIOSPlanID*\n(StandardComponent+Variant)","CSRVariationType*","IssuerActuarialValue","AVCalculatorOutputNumber*","Medical&DrugDeductiblesIntegrated?*","Medical&DrugMaximumOutofPocketIntegrated?*","MultipleInNetworkTiers?*","1stTierUtilization*","2ndTierUtilization","HSAEligible?","MaximumCoinsuranceforSpecialtyDrugs","MaximumNumberofDaysforCharginganInpatientCopay?","BeginPrimaryCareCost-SharingAfteraSetNumberofVisits?","BeginPrimaryCareDeductible/CoinsuranceAfteraSetNumberofCopays?","ExplanationforPrimaryCareVisittoTreatanInjuryorIllness","MaximumOutofPocketforMedicalEHBBenefitsInNetworkIndividual","MaximumOutofPocketforMedicalEHBBenefitsInNetworkFamily","MaximumOutofPocketforMedicalEHBBenefitsInNetwork(Tier2)Individual","MaximumOutofPocketforMedicalEHBBenefitsInNetwork(Tier2)Family","MaximumOutofPocketforMedicalEHBBenefitsOutofNetworkIndividual","MaximumOutofPocketforMedicalEHBBenefitsOutofNetworkFamily","MaximumOutofPocketforMedicalEHBBenefitsCombinedIn/OutNetworkIndividual","MaximumOutofPocketforMedicalEHBBenefitsCombinedIn/OutNetworkFamily","MaximumOutofPocketforDrugEHBBenefitsInNetworkIndividual","MaximumOutofPocketforDrugEHBBenefitsInNetworkFamily","MaximumOutofPocketforDrugEHBBenefitsInNetwork(Tier2)Individual","MaximumOutofPocketforDrugEHBBenefitsInNetwork(Tier2)Family","MaximumOutofPocketforDrugEHBBenefitsOutofNetworkIndividual","MaximumOutofPocketforDrugEHBBenefitsOutofNetworkFamily","MaximumOutofPocketforDrugEHBBenefitsCombinedIn/OutNetworkIndividual","MaximumOutofPocketforDrugEHBBenefitsCombinedIn/OutNetworkFamily","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)InNetworkIndividual","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)InNetworkFamily","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)InNetwork(Tier2)Individual","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)InNetwork(Tier2)Family","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)OutofNetworkIndividual","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)OutofNetworkFamily","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)CombinedIn/OutNetworkIndividual","MaximumOutofPocketforMedicalandDrugEHBBenefits(Total)CombinedIn/OutNetworkFamily","MedicalEHBDeductibleInNetworkIndividual","MedicalEHBDeductibleInNetworkFamily","MedicalEHBDeductibleInNetworkDefaultCoinsurance","MedicalEHBDeductibleInNetwork(Tier2)Individual","MedicalEHBDeductibleInNetwork(Tier2)Family","MedicalEHBDeductibleInNetwork(Tier2)DefaultCoinsurance","MedicalEHBDeductibleOutofNetworkIndividual","MedicalEHBDeductibleOutofNetworkFamily","MedicalEHBDeductibleCombinedIn/OutNetworkIndividual","MedicalEHBDeductibleCombinedIn/OutNetworkFamily","DrugEHBDeductibleInNetworkIndividual","DrugEHBDeductibleInNetworkFamily","DrugEHBDeductibleInNetworkDefaultCoinsurance","DrugEHBDeductibleInNetwork(Tier2)Individual","DrugEHBDeductibleInNetwork(Tier2)Family","DrugEHBDeductibleInNetwork(Tier2)DefaultCoinsurance","DrugEHBDeductibleOutofNetworkIndividual","DrugEHBDeductibleOutofNetworkFamily","DrugEHBDeductibleCombinedIn/OutNetworkIndividual","DrugEHBDeductibleCombinedIn/OutNetworkFamily","CombinedMedicalandDrugEHBDeductibleInNetworkIndividual","CombinedMedicalandDrugEHBDeductibleInNetworkFamily","CombinedMedicalandDrugEHBDeductibleInNetworkDefaultCoinsurance","CombinedMedicalandDrugEHBDeductibleInNetwork(Tier2)Individual","CombinedMedicalandDrugEHBDeductibleInNetwork(Tier2)Family","CombinedMedicalandDrugEHBDeductibleInNetwork(Tier2)DefaultCoinsurance","CombinedMedicalandDrugEHBDeductibleOutofNetworkIndividual","CombinedMedicalandDrugEHBDeductibleOutofNetworkFamily","CombinedMedicalandDrugEHBDeductibleCombinedIn/OutNetworkIndividual","CombinedMedicalandDrugEHBDeductibleCombinedIn/OutNetworkFamily","SBCScenarioHavingaBabyDeductible*","SBCScenarioHavingaBabyCopayment*","SBCScenarioHavingaBabyCoinsurance*","SBCScenarioHavingaBabyLimit*","SBCScenarioHavingDiabetesDeductible*","SBCScenarioHavingDiabetesCopayment*","SBCScenarioHavingDiabetesCoinsurance*","SBCScenarioHavingDiabetesLimit*","PrimaryCareVisittoTreatanInjuryorIllnessCopayInNetwork(Tier1)","PrimaryCareVisittoTreatanInjuryorIllnessCopayInNetwork(Tier2)","PrimaryCareVisittoTreatanInjuryorIllnessCopayOutofNetwork","PrimaryCareVisittoTreatanInjuryorIllnessCoinsuranceInNetwork(Tier1)","PrimaryCareVisittoTreatanInjuryorIllnessCoinsuranceInNetwork(Tier2)","PrimaryCareVisittoTreatanInjuryorIllnessCoinsuranceOutofNetwork","PrimaryCareVisittoTreatanInjuryorIllnessBenefitInformationEHB","PrimaryCareVisittoTreatanInjuryorIllnessBenefitInformationIsthisBenefitCovered?","PrimaryCareVisittoTreatanInjuryorIllnessBenefitInformationQuantitativeLimitonService","PrimaryCareVisittoTreatanInjuryorIllnessBenefitInformationLimitQuantity","PrimaryCareVisittoTreatanInjuryorIllnessBenefitInformationLimitUnit","PrimaryCareVisittoTreatanInjuryorIllnessBenefitInformationEHBVarianceReason","SpecialistVisitCopayInNetwork(Tier1)","SpecialistVisitCopayInNetwork(Tier2)","SpecialistVisitCopayOutofNetwork","SpecialistVisitCoinsuranceInNetwork(Tier1)","SpecialistVisitCoinsuranceInNetwork(Tier2)","SpecialistVisitCoinsuranceOutofNetwork","SpecialistVisitBenefitInformationEHB","SpecialistVisitBenefitInformationIsthisBenefitCovered?","SpecialistVisitBenefitInformationQuantitativeLimitonService","SpecialistVisitBenefitInformationLimitQuantity","SpecialistVisitBenefitInformationLimitUnit","SpecialistVisitBenefitInformationEHBVarianceReason","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)CopayInNetwork(Tier1)","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)CopayInNetwork(Tier2)","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)CopayOutofNetwork","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)CoinsuranceInNetwork(Tier1)","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)CoinsuranceInNetwork(Tier2)","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)CoinsuranceOutofNetwork","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)BenefitInformationEHB","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)BenefitInformationIsthisBenefitCovered?","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)BenefitInformationQuantitativeLimitonService","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)BenefitInformationLimitQuantity","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)BenefitInformationLimitUnit","OtherPractitionerOfficeVisit(Nurse,PhysicianAssistant)BenefitInformationEHBVarianceReason","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)CopayInNetwork(Tier1)","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)CopayInNetwork(Tier2)","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)CopayOutofNetwork","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)CoinsuranceInNetwork(Tier1)","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)CoinsuranceInNetwork(Tier2)","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)CoinsuranceOutofNetwork","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)BenefitInformationEHB","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)BenefitInformationIsthisBenefitCovered?","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)BenefitInformationQuantitativeLimitonService","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)BenefitInformationLimitQuantity","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)BenefitInformationLimitUnit","OutpatientFacilityFee(e.g.,AmbulatorySurgeryCenter)BenefitInformationEHBVarianceReason","OutpatientSurgeryPhysician/SurgicalServicesCopayInNetwork(Tier1)","OutpatientSurgeryPhysician/SurgicalServicesCopayInNetwork(Tier2)","OutpatientSurgeryPhysician/SurgicalServicesCopayOutofNetwork","OutpatientSurgeryPhysician/SurgicalServicesCoinsuranceInNetwork(Tier1)","OutpatientSurgeryPhysician/SurgicalServicesCoinsuranceInNetwork(Tier2)","OutpatientSurgeryPhysician/SurgicalServicesCoinsuranceOutofNetwork","OutpatientSurgeryPhysician/SurgicalServicesBenefitInformationEHB","OutpatientSurgeryPhysician/SurgicalServicesBenefitInformationIsthisBenefitCovered?","OutpatientSurgeryPhysician/SurgicalServicesBenefitInformationQuantitativeLimitonService","OutpatientSurgeryPhysician/SurgicalServicesBenefitInformationLimitQuantity","OutpatientSurgeryPhysician/SurgicalServicesBenefitInformationLimitUnit","OutpatientSurgeryPhysician/SurgicalServicesBenefitInformationEHBVarianceReason","HospiceServicesCopayInNetwork(Tier1)","HospiceServicesCopayInNetwork(Tier2)","HospiceServicesCopayOutofNetwork","HospiceServicesCoinsuranceInNetwork(Tier1)","HospiceServicesCoinsuranceInNetwork(Tier2)","HospiceServicesCoinsuranceOutofNetwork","HospiceServicesBenefitInformationEHB","HospiceServicesBenefitInformationIsthisBenefitCovered?","HospiceServicesBenefitInformationQuantitativeLimitonService","HospiceServicesBenefitInformationLimitQuantity","HospiceServicesBenefitInformationLimitUnit","HospiceServicesBenefitInformationEHBVarianceReason","RoutineDentalServices(Adult)CopayInNetwork(Tier1)","RoutineDentalServices(Adult)CopayInNetwork(Tier2)","RoutineDentalServices(Adult)CopayOutofNetwork","RoutineDentalServices(Adult)CoinsuranceInNetwork(Tier1)","RoutineDentalServices(Adult)CoinsuranceInNetwork(Tier2)","RoutineDentalServices(Adult)CoinsuranceOutofNetwork","RoutineDentalServices(Adult)BenefitInformationEHB","RoutineDentalServices(Adult)BenefitInformationIsthisBenefitCovered?","RoutineDentalServices(Adult)BenefitInformationQuantitativeLimitonService","RoutineDentalServices(Adult)BenefitInformationLimitQuantity","RoutineDentalServices(Adult)BenefitInformationLimitUnit","RoutineDentalServices(Adult)BenefitInformationEHBVarianceReason","InfertilityTreatmentCopayInNetwork(Tier1)","InfertilityTreatmentCopayInNetwork(Tier2)","InfertilityTreatmentCopayOutofNetwork","InfertilityTreatmentCoinsuranceInNetwork(Tier1)","InfertilityTreatmentCoinsuranceInNetwork(Tier2)","InfertilityTreatmentCoinsuranceOutofNetwork","InfertilityTreatmentBenefitInformationEHB","InfertilityTreatmentBenefitInformationIsthisBenefitCovered?","InfertilityTreatmentBenefitInformationQuantitativeLimitonService","InfertilityTreatmentBenefitInformationLimitQuantity","InfertilityTreatmentBenefitInformationLimitUnit","InfertilityTreatmentBenefitInformationEHBVarianceReason","Long-Term/CustodialNursingHomeCareCopayInNetwork(Tier1)","Long-Term/CustodialNursingHomeCareCopayInNetwork(Tier2)","Long-Term/CustodialNursingHomeCareCopayOutofNetwork","Long-Term/CustodialNursingHomeCareCoinsuranceInNetwork(Tier1)","Long-Term/CustodialNursingHomeCareCoinsuranceInNetwork(Tier2)","Long-Term/CustodialNursingHomeCareCoinsuranceOutofNetwork","Long-Term/CustodialNursingHomeCareBenefitInformationEHB","Long-Term/CustodialNursingHomeCareBenefitInformationIsthisBenefitCovered?","Long-Term/CustodialNursingHomeCareBenefitInformationQuantitativeLimitonService","Long-Term/CustodialNursingHomeCareBenefitInformationLimitQuantity","Long-Term/CustodialNursingHomeCareBenefitInformationLimitUnit","Long-Term/CustodialNursingHomeCareBenefitInformationEHBVarianceReason","Private-DutyNursingCopayInNetwork(Tier1)","Private-DutyNursingCopayInNetwork(Tier2)","Private-DutyNursingCopayOutofNetwork","Private-DutyNursingCoinsuranceInNetwork(Tier1)","Private-DutyNursingCoinsuranceInNetwork(Tier2)","Private-DutyNursingCoinsuranceOutofNetwork","Private-DutyNursingBenefitInformationEHB","Private-DutyNursingBenefitInformationIsthisBenefitCovered?","Private-DutyNursingBenefitInformationQuantitativeLimitonService","Private-DutyNursingBenefitInformationLimitQuantity","Private-DutyNursingBenefitInformationLimitUnit","Private-DutyNursingBenefitInformationEHBVarianceReason","RoutineEyeExam(Adult)CopayInNetwork(Tier1)","RoutineEyeExam(Adult)CopayInNetwork(Tier2)","RoutineEyeExam(Adult)CopayOutofNetwork","RoutineEyeExam(Adult)CoinsuranceInNetwork(Tier1)","RoutineEyeExam(Adult)CoinsuranceInNetwork(Tier2)","RoutineEyeExam(Adult)CoinsuranceOutofNetwork","RoutineEyeExam(Adult)BenefitInformationEHB","RoutineEyeExam(Adult)BenefitInformationIsthisBenefitCovered?","RoutineEyeExam(Adult)BenefitInformationQuantitativeLimitonService","RoutineEyeExam(Adult)BenefitInformationLimitQuantity","RoutineEyeExam(Adult)BenefitInformationLimitUnit","RoutineEyeExam(Adult)BenefitInformationEHBVarianceReason","UrgentCareCentersorFacilitiesCopayInNetwork(Tier1)","UrgentCareCentersorFacilitiesCopayInNetwork(Tier2)","UrgentCareCentersorFacilitiesCopayOutofNetwork","UrgentCareCentersorFacilitiesCoinsuranceInNetwork(Tier1)","UrgentCareCentersorFacilitiesCoinsuranceInNetwork(Tier2)","UrgentCareCentersorFacilitiesCoinsuranceOutofNetwork","UrgentCareCentersorFacilitiesBenefitInformationEHB","UrgentCareCentersorFacilitiesBenefitInformationIsthisBenefitCovered?","UrgentCareCentersorFacilitiesBenefitInformationQuantitativeLimitonService","UrgentCareCentersorFacilitiesBenefitInformationLimitQuantity","UrgentCareCentersorFacilitiesBenefitInformationLimitUnit","UrgentCareCentersorFacilitiesBenefitInformationEHBVarianceReason","HomeHealthCareServicesCopayInNetwork(Tier1)","HomeHealthCareServicesCopayInNetwork(Tier2)","HomeHealthCareServicesCopayOutofNetwork","HomeHealthCareServicesCoinsuranceInNetwork(Tier1)","HomeHealthCareServicesCoinsuranceInNetwork(Tier2)","HomeHealthCareServicesCoinsuranceOutofNetwork","HomeHealthCareServicesBenefitInformationEHB","HomeHealthCareServicesBenefitInformationIsthisBenefitCovered?","HomeHealthCareServicesBenefitInformationQuantitativeLimitonService","HomeHealthCareServicesBenefitInformationLimitQuantity","HomeHealthCareServicesBenefitInformationLimitUnit","HomeHealthCareServicesBenefitInformationEHBVarianceReason","EmergencyRoomServicesCopayInNetwork(Tier1)","EmergencyRoomServicesCopayInNetwork(Tier2)","EmergencyRoomServicesCopayOutofNetwork","EmergencyRoomServicesCoinsuranceInNetwork(Tier1)","EmergencyRoomServicesCoinsuranceInNetwork(Tier2)","EmergencyRoomServicesCoinsuranceOutofNetwork","EmergencyRoomServicesBenefitInformationEHB","EmergencyRoomServicesBenefitInformationIsthisBenefitCovered?","EmergencyRoomServicesBenefitInformationQuantitativeLimitonService","EmergencyRoomServicesBenefitInformationLimitQuantity","EmergencyRoomServicesBenefitInformationLimitUnit","EmergencyRoomServicesBenefitInformationEHBVarianceReason","EmergencyTransportation/AmbulanceCopayInNetwork(Tier1)","EmergencyTransportation/AmbulanceCopayInNetwork(Tier2)","EmergencyTransportation/AmbulanceCopayOutofNetwork","EmergencyTransportation/AmbulanceCoinsuranceInNetwork(Tier1)","EmergencyTransportation/AmbulanceCoinsuranceInNetwork(Tier2)","EmergencyTransportation/AmbulanceCoinsuranceOutofNetwork","EmergencyTransportation/AmbulanceBenefitInformationEHB","EmergencyTransportation/AmbulanceBenefitInformationIsthisBenefitCovered?","EmergencyTransportation/AmbulanceBenefitInformationQuantitativeLimitonService","EmergencyTransportation/AmbulanceBenefitInformationLimitQuantity","EmergencyTransportation/AmbulanceBenefitInformationLimitUnit","EmergencyTransportation/AmbulanceBenefitInformationEHBVarianceReason","InpatientHospitalServices(e.g.,HospitalStay)CopayInNetwork(Tier1)","InpatientHospitalServices(e.g.,HospitalStay)CopayInNetwork(Tier2)","InpatientHospitalServices(e.g.,HospitalStay)CopayOutofNetwork","InpatientHospitalServices(e.g.,HospitalStay)CoinsuranceInNetwork(Tier1)","InpatientHospitalServices(e.g.,HospitalStay)CoinsuranceInNetwork(Tier2)","InpatientHospitalServices(e.g.,HospitalStay)CoinsuranceOutofNetwork","InpatientHospitalServices(e.g.,HospitalStay)BenefitInformationEHB","InpatientHospitalServices(e.g.,HospitalStay)BenefitInformationIsthisBenefitCovered?","InpatientHospitalServices(e.g.,HospitalStay)BenefitInformationQuantitativeLimitonService","InpatientHospitalServices(e.g.,HospitalStay)BenefitInformationLimitQuantity","InpatientHospitalServices(e.g.,HospitalStay)BenefitInformationLimitUnit","InpatientHospitalServices(e.g.,HospitalStay)BenefitInformationEHBVarianceReason","InpatientPhysicianandSurgicalServicesCopayInNetwork(Tier1)","InpatientPhysicianandSurgicalServicesCopayInNetwork(Tier2)","InpatientPhysicianandSurgicalServicesCopayOutofNetwork","InpatientPhysicianandSurgicalServicesCoinsuranceInNetwork(Tier1)","InpatientPhysicianandSurgicalServicesCoinsuranceInNetwork(Tier2)","InpatientPhysicianandSurgicalServicesCoinsuranceOutofNetwork","InpatientPhysicianandSurgicalServicesBenefitInformationEHB","InpatientPhysicianandSurgicalServicesBenefitInformationIsthisBenefitCovered?","InpatientPhysicianandSurgicalServicesBenefitInformationQuantitativeLimitonService","InpatientPhysicianandSurgicalServicesBenefitInformationLimitQuantity","InpatientPhysicianandSurgicalServicesBenefitInformationLimitUnit","InpatientPhysicianandSurgicalServicesBenefitInformationEHBVarianceReason","BariatricSurgeryCopayInNetwork(Tier1)","BariatricSurgeryCopayInNetwork(Tier2)","BariatricSurgeryCopayOutofNetwork","BariatricSurgeryCoinsuranceInNetwork(Tier1)","BariatricSurgeryCoinsuranceInNetwork(Tier2)","BariatricSurgeryCoinsuranceOutofNetwork","BariatricSurgeryBenefitInformationEHB","BariatricSurgeryBenefitInformationIsthisBenefitCovered?","BariatricSurgeryBenefitInformationQuantitativeLimitonService","BariatricSurgeryBenefitInformationLimitQuantity","BariatricSurgeryBenefitInformationLimitUnit","BariatricSurgeryBenefitInformationEHBVarianceReason","CosmeticSurgeryCopayInNetwork(Tier1)","CosmeticSurgeryCopayInNetwork(Tier2)","CosmeticSurgeryCopayOutofNetwork","CosmeticSurgeryCoinsuranceInNetwork(Tier1)","CosmeticSurgeryCoinsuranceInNetwork(Tier2)","CosmeticSurgeryCoinsuranceOutofNetwork","CosmeticSurgeryBenefitInformationEHB","CosmeticSurgeryBenefitInformationIsthisBenefitCovered?","CosmeticSurgeryBenefitInformationQuantitativeLimitonService","CosmeticSurgeryBenefitInformationLimitQuantity","CosmeticSurgeryBenefitInformationLimitUnit","CosmeticSurgeryBenefitInformationEHBVarianceReason","SkilledNursingFacilityCopayInNetwork(Tier1)","SkilledNursingFacilityCopayInNetwork(Tier2)","SkilledNursingFacilityCopayOutofNetwork","SkilledNursingFacilityCoinsuranceInNetwork(Tier1)","SkilledNursingFacilityCoinsuranceInNetwork(Tier2)","SkilledNursingFacilityCoinsuranceOutofNetwork","SkilledNursingFacilityBenefitInformationEHB","SkilledNursingFacilityBenefitInformationIsthisBenefitCovered?","SkilledNursingFacilityBenefitInformationQuantitativeLimitonService","SkilledNursingFacilityBenefitInformationLimitQuantity","SkilledNursingFacilityBenefitInformationLimitUnit","SkilledNursingFacilityBenefitInformationEHBVarianceReason","PrenatalandPostnatalCareCopayInNetwork(Tier1)","PrenatalandPostnatalCareCopayInNetwork(Tier2)","PrenatalandPostnatalCareCopayOutofNetwork","PrenatalandPostnatalCareCoinsuranceInNetwork(Tier1)","PrenatalandPostnatalCareCoinsuranceInNetwork(Tier2)","PrenatalandPostnatalCareCoinsuranceOutofNetwork","PrenatalandPostnatalCareBenefitInformationEHB","PrenatalandPostnatalCareBenefitInformationIsthisBenefitCovered?","PrenatalandPostnatalCareBenefitInformationQuantitativeLimitonService","PrenatalandPostnatalCareBenefitInformationLimitQuantity","PrenatalandPostnatalCareBenefitInformationLimitUnit","PrenatalandPostnatalCareBenefitInformationEHBVarianceReason","DeliveryandAllInpatientServicesforMaternityCareCopayInNetwork(Tier1)","DeliveryandAllInpatientServicesforMaternityCareCopayInNetwork(Tier2)","DeliveryandAllInpatientServicesforMaternityCareCopayOutofNetwork","DeliveryandAllInpatientServicesforMaternityCareCoinsuranceInNetwork(Tier1)","DeliveryandAllInpatientServicesforMaternityCareCoinsuranceInNetwork(Tier2)","DeliveryandAllInpatientServicesforMaternityCareCoinsuranceOutofNetwork","DeliveryandAllInpatientServicesforMaternityCareBenefitInformationEHB","DeliveryandAllInpatientServicesforMaternityCareBenefitInformationIsthisBenefitCovered?","DeliveryandAllInpatientServicesforMaternityCareBenefitInformationQuantitativeLimitonService","DeliveryandAllInpatientServicesforMaternityCareBenefitInformationLimitQuantity","DeliveryandAllInpatientServicesforMaternityCareBenefitInformationLimitUnit","DeliveryandAllInpatientServicesforMaternityCareBenefitInformationEHBVarianceReason","Mental/BehavioralHealthOutpatientServicesCopayInNetwork(Tier1)","Mental/BehavioralHealthOutpatientServicesCopayInNetwork(Tier2)","Mental/BehavioralHealthOutpatientServicesCopayOutofNetwork","Mental/BehavioralHealthOutpatientServicesCoinsuranceInNetwork(Tier1)","Mental/BehavioralHealthOutpatientServicesCoinsuranceInNetwork(Tier2)","Mental/BehavioralHealthOutpatientServicesCoinsuranceOutofNetwork","Mental/BehavioralHealthOutpatientServicesBenefitInformationEHB","Mental/BehavioralHealthOutpatientServicesBenefitInformationIsthisBenefitCovered?","Mental/BehavioralHealthOutpatientServicesBenefitInformationQuantitativeLimitonService","Mental/BehavioralHealthOutpatientServicesBenefitInformationLimitQuantity","Mental/BehavioralHealthOutpatientServicesBenefitInformationLimitUnit","Mental/BehavioralHealthOutpatientServicesBenefitInformationEHBVarianceReason","Mental/BehavioralHealthInpatientServicesCopayInNetwork(Tier1)","Mental/BehavioralHealthInpatientServicesCopayInNetwork(Tier2)","Mental/BehavioralHealthInpatientServicesCopayOutofNetwork","Mental/BehavioralHealthInpatientServicesCoinsuranceInNetwork(Tier1)","Mental/BehavioralHealthInpatientServicesCoinsuranceInNetwork(Tier2)","Mental/BehavioralHealthInpatientServicesCoinsuranceOutofNetwork","Mental/BehavioralHealthInpatientServicesBenefitInformationEHB","Mental/BehavioralHealthInpatientServicesBenefitInformationIsthisBenefitCovered?","Mental/BehavioralHealthInpatientServicesBenefitInformationQuantitativeLimitonService","Mental/BehavioralHealthInpatientServicesBenefitInformationLimitQuantity","Mental/BehavioralHealthInpatientServicesBenefitInformationLimitUnit","Mental/BehavioralHealthInpatientServicesBenefitInformationEHBVarianceReason","SubstanceAbuseDisorderOutpatientServicesCopayInNetwork(Tier1)","SubstanceAbuseDisorderOutpatientServicesCopayInNetwork(Tier2)","SubstanceAbuseDisorderOutpatientServicesCopayOutofNetwork","SubstanceAbuseDisorderOutpatientServicesCoinsuranceInNetwork(Tier1)","SubstanceAbuseDisorderOutpatientServicesCoinsuranceInNetwork(Tier2)","SubstanceAbuseDisorderOutpatientServicesCoinsuranceOutofNetwork","SubstanceAbuseDisorderOutpatientServicesBenefitInformationEHB","SubstanceAbuseDisorderOutpatientServicesBenefitInformationIsthisBenefitCovered?","SubstanceAbuseDisorderOutpatientServicesBenefitInformationQuantitativeLimitonService","SubstanceAbuseDisorderOutpatientServicesBenefitInformationLimitQuantity","SubstanceAbuseDisorderOutpatientServicesBenefitInformationLimitUnit","SubstanceAbuseDisorderOutpatientServicesBenefitInformationEHBVarianceReason","SubstanceAbuseDisorderInpatientServicesCopayInNetwork(Tier1)","SubstanceAbuseDisorderInpatientServicesCopayInNetwork(Tier2)","SubstanceAbuseDisorderInpatientServicesCopayOutofNetwork","SubstanceAbuseDisorderInpatientServicesCoinsuranceInNetwork(Tier1)","SubstanceAbuseDisorderInpatientServicesCoinsuranceInNetwork(Tier2)","SubstanceAbuseDisorderInpatientServicesCoinsuranceOutofNetwork","SubstanceAbuseDisorderInpatientServicesBenefitInformationEHB","SubstanceAbuseDisorderInpatientServicesBenefitInformationIsthisBenefitCovered?","SubstanceAbuseDisorderInpatientServicesBenefitInformationQuantitativeLimitonService","SubstanceAbuseDisorderInpatientServicesBenefitInformationLimitQuantity","SubstanceAbuseDisorderInpatientServicesBenefitInformationLimitUnit","SubstanceAbuseDisorderInpatientServicesBenefitInformationEHBVarianceReason","GenericDrugsCopayInNetwork(Tier1)","GenericDrugsCopayInNetwork(Tier2)","GenericDrugsCopayOutofNetwork","GenericDrugsCoinsuranceInNetwork(Tier1)","GenericDrugsCoinsuranceInNetwork(Tier2)","GenericDrugsCoinsuranceOutofNetwork","GenericDrugsBenefitInformationEHB","GenericDrugsBenefitInformationIsthisBenefitCovered?","GenericDrugsBenefitInformationQuantitativeLimitonService","GenericDrugsBenefitInformationLimitQuantity","GenericDrugsBenefitInformationLimitUnit","GenericDrugsBenefitInformationEHBVarianceReason","PreferredBrandDrugsCopayInNetwork(Tier1)","PreferredBrandDrugsCopayInNetwork(Tier2)","PreferredBrandDrugsCopayOutofNetwork","PreferredBrandDrugsCoinsuranceInNetwork(Tier1)","PreferredBrandDrugsCoinsuranceInNetwork(Tier2)","PreferredBrandDrugsCoinsuranceOutofNetwork","PreferredBrandDrugsBenefitInformationEHB","PreferredBrandDrugsBenefitInformationIsthisBenefitCovered?","PreferredBrandDrugsBenefitInformationQuantitativeLimitonService","PreferredBrandDrugsBenefitInformationLimitQuantity","PreferredBrandDrugsBenefitInformationLimitUnit","PreferredBrandDrugsBenefitInformationEHBVarianceReason","Non-PreferredBrandDrugsCopayInNetwork(Tier1)","Non-PreferredBrandDrugsCopayInNetwork(Tier2)","Non-PreferredBrandDrugsCopayOutofNetwork","Non-PreferredBrandDrugsCoinsuranceInNetwork(Tier1)","Non-PreferredBrandDrugsCoinsuranceInNetwork(Tier2)","Non-PreferredBrandDrugsCoinsuranceOutofNetwork","Non-PreferredBrandDrugsBenefitInformationEHB","Non-PreferredBrandDrugsBenefitInformationIsthisBenefitCovered?","Non-PreferredBrandDrugsBenefitInformationQuantitativeLimitonService","Non-PreferredBrandDrugsBenefitInformationLimitQuantity","Non-PreferredBrandDrugsBenefitInformationLimitUnit","Non-PreferredBrandDrugsBenefitInformationEHBVarianceReason","SpecialtyDrugsCopayInNetwork(Tier1)","SpecialtyDrugsCopayInNetwork(Tier2)","SpecialtyDrugsCopayOutofNetwork","SpecialtyDrugsCoinsuranceInNetwork(Tier1)","SpecialtyDrugsCoinsuranceInNetwork(Tier2)","SpecialtyDrugsCoinsuranceOutofNetwork","SpecialtyDrugsBenefitInformationEHB","SpecialtyDrugsBenefitInformationIsthisBenefitCovered?","SpecialtyDrugsBenefitInformationQuantitativeLimitonService","SpecialtyDrugsBenefitInformationLimitQuantity","SpecialtyDrugsBenefitInformationLimitUnit","SpecialtyDrugsBenefitInformationEHBVarianceReason","HabilitationServicesCopayInNetwork(Tier1)","HabilitationServicesCopayInNetwork(Tier2)","HabilitationServicesCopayOutofNetwork","HabilitationServicesCoinsuranceInNetwork(Tier1)","HabilitationServicesCoinsuranceInNetwork(Tier2)","HabilitationServicesCoinsuranceOutofNetwork","HabilitationServicesBenefitInformationEHB","HabilitationServicesBenefitInformationIsthisBenefitCovered?","HabilitationServicesBenefitInformationQuantitativeLimitonService","HabilitationServicesBenefitInformationLimitQuantity","HabilitationServicesBenefitInformationLimitUnit","HabilitationServicesBenefitInformationEHBVarianceReason","OutpatientRehabilitationServicesCopayInNetwork(Tier1)","OutpatientRehabilitationServicesCopayInNetwork(Tier2)","OutpatientRehabilitationServicesCopayOutofNetwork","OutpatientRehabilitationServicesCoinsuranceInNetwork(Tier1)","OutpatientRehabilitationServicesCoinsuranceInNetwork(Tier2)","OutpatientRehabilitationServicesCoinsuranceOutofNetwork","OutpatientRehabilitationServicesBenefitInformationEHB","OutpatientRehabilitationServicesBenefitInformationIsthisBenefitCovered?","OutpatientRehabilitationServicesBenefitInformationQuantitativeLimitonService","OutpatientRehabilitationServicesBenefitInformationLimitQuantity","OutpatientRehabilitationServicesBenefitInformationLimitUnit","OutpatientRehabilitationServicesBenefitInformationEHBVarianceReason","ChiropracticCareCopayInNetwork(Tier1)","ChiropracticCareCopayInNetwork(Tier2)","ChiropracticCareCopayOutofNetwork","ChiropracticCareCoinsuranceInNetwork(Tier1)","ChiropracticCareCoinsuranceInNetwork(Tier2)","ChiropracticCareCoinsuranceOutofNetwork","ChiropracticCareBenefitInformationEHB","ChiropracticCareBenefitInformationIsthisBenefitCovered?","ChiropracticCareBenefitInformationQuantitativeLimitonService","ChiropracticCareBenefitInformationLimitQuantity","ChiropracticCareBenefitInformationLimitUnit","ChiropracticCareBenefitInformationEHBVarianceReason","DurableMedicalEquipmentCopayInNetwork(Tier1)","DurableMedicalEquipmentCopayInNetwork(Tier2)","DurableMedicalEquipmentCopayOutofNetwork","DurableMedicalEquipmentCoinsuranceInNetwork(Tier1)","DurableMedicalEquipmentCoinsuranceInNetwork(Tier2)","DurableMedicalEquipmentCoinsuranceOutofNetwork","DurableMedicalEquipmentBenefitInformationEHB","DurableMedicalEquipmentBenefitInformationIsthisBenefitCovered?","DurableMedicalEquipmentBenefitInformationQuantitativeLimitonService","DurableMedicalEquipmentBenefitInformationLimitQuantity","DurableMedicalEquipmentBenefitInformationLimitUnit","DurableMedicalEquipmentBenefitInformationEHBVarianceReason","HearingAidsCopayInNetwork(Tier1)","HearingAidsCopayInNetwork(Tier2)","HearingAidsCopayOutofNetwork","HearingAidsCoinsuranceInNetwork(Tier1)","HearingAidsCoinsuranceInNetwork(Tier2)","HearingAidsCoinsuranceOutofNetwork","HearingAidsBenefitInformationEHB","HearingAidsBenefitInformationIsthisBenefitCovered?","HearingAidsBenefitInformationQuantitativeLimitonService","HearingAidsBenefitInformationLimitQuantity","HearingAidsBenefitInformationLimitUnit","HearingAidsBenefitInformationEHBVarianceReason","Imaging(CT/PETScans,MRIs)CopayInNetwork(Tier1)","Imaging(CT/PETScans,MRIs)CopayInNetwork(Tier2)","Imaging(CT/PETScans,MRIs)CopayOutofNetwork","Imaging(CT/PETScans,MRIs)CoinsuranceInNetwork(Tier1)","Imaging(CT/PETScans,MRIs)CoinsuranceInNetwork(Tier2)","Imaging(CT/PETScans,MRIs)CoinsuranceOutofNetwork","Imaging(CT/PETScans,MRIs)BenefitInformationEHB","Imaging(CT/PETScans,MRIs)BenefitInformationIsthisBenefitCovered?","Imaging(CT/PETScans,MRIs)BenefitInformationQuantitativeLimitonService","Imaging(CT/PETScans,MRIs)BenefitInformationLimitQuantity","Imaging(CT/PETScans,MRIs)BenefitInformationLimitUnit","Imaging(CT/PETScans,MRIs)BenefitInformationEHBVarianceReason","PreventiveCare/Screening/ImmunizationCopayInNetwork(Tier1)","PreventiveCare/Screening/ImmunizationCopayInNetwork(Tier2)","PreventiveCare/Screening/ImmunizationCopayOutofNetwork","PreventiveCare/Screening/ImmunizationCoinsuranceInNetwork(Tier1)","PreventiveCare/Screening/ImmunizationCoinsuranceInNetwork(Tier2)","PreventiveCare/Screening/ImmunizationCoinsuranceOutofNetwork","PreventiveCare/Screening/ImmunizationBenefitInformationEHB","PreventiveCare/Screening/ImmunizationBenefitInformationIsthisBenefitCovered?","PreventiveCare/Screening/ImmunizationBenefitInformationQuantitativeLimitonService","PreventiveCare/Screening/ImmunizationBenefitInformationLimitQuantity","PreventiveCare/Screening/ImmunizationBenefitInformationLimitUnit","PreventiveCare/Screening/ImmunizationBenefitInformationEHBVarianceReason","RoutineFootCareCopayInNetwork(Tier1)","RoutineFootCareCopayInNetwork(Tier2)","RoutineFootCareCopayOutofNetwork","RoutineFootCareCoinsuranceInNetwork(Tier1)","RoutineFootCareCoinsuranceInNetwork(Tier2)","RoutineFootCareCoinsuranceOutofNetwork","RoutineFootCareBenefitInformationEHB","RoutineFootCareBenefitInformationIsthisBenefitCovered?","RoutineFootCareBenefitInformationQuantitativeLimitonService","RoutineFootCareBenefitInformationLimitQuantity","RoutineFootCareBenefitInformationLimitUnit","RoutineFootCareBenefitInformationEHBVarianceReason","AcupunctureCopayInNetwork(Tier1)","AcupunctureCopayInNetwork(Tier2)","AcupunctureCopayOutofNetwork","AcupunctureCoinsuranceInNetwork(Tier1)","AcupunctureCoinsuranceInNetwork(Tier2)","AcupunctureCoinsuranceOutofNetwork","AcupunctureBenefitInformationEHB","AcupunctureBenefitInformationIsthisBenefitCovered?","AcupunctureBenefitInformationQuantitativeLimitonService","AcupunctureBenefitInformationLimitQuantity","AcupunctureBenefitInformationLimitUnit","AcupunctureBenefitInformationEHBVarianceReason","WeightLossProgramsCopayInNetwork(Tier1)","WeightLossProgramsCopayInNetwork(Tier2)","WeightLossProgramsCopayOutofNetwork","WeightLossProgramsCoinsuranceInNetwork(Tier1)","WeightLossProgramsCoinsuranceInNetwork(Tier2)","WeightLossProgramsCoinsuranceOutofNetwork","WeightLossProgramsBenefitInformationEHB","WeightLossProgramsBenefitInformationIsthisBenefitCovered?","WeightLossProgramsBenefitInformationQuantitativeLimitonService","WeightLossProgramsBenefitInformationLimitQuantity","WeightLossProgramsBenefitInformationLimitUnit","WeightLossProgramsBenefitInformationEHBVarianceReason","RoutineEyeExamforChildrenCopayInNetwork(Tier1)","RoutineEyeExamforChildrenCopayInNetwork(Tier2)","RoutineEyeExamforChildrenCopayOutofNetwork","RoutineEyeExamforChildrenCoinsuranceInNetwork(Tier1)","RoutineEyeExamforChildrenCoinsuranceInNetwork(Tier2)","RoutineEyeExamforChildrenCoinsuranceOutofNetwork","RoutineEyeExamforChildrenBenefitInformationEHB","RoutineEyeExamforChildrenBenefitInformationIsthisBenefitCovered?","RoutineEyeExamforChildrenBenefitInformationQuantitativeLimitonService","RoutineEyeExamforChildrenBenefitInformationLimitQuantity","RoutineEyeExamforChildrenBenefitInformationLimitUnit","RoutineEyeExamforChildrenBenefitInformationEHBVarianceReason","EyeGlassesforChildrenCopayInNetwork(Tier1)","EyeGlassesforChildrenCopayInNetwork(Tier2)","EyeGlassesforChildrenCopayOutofNetwork","EyeGlassesforChildrenCoinsuranceInNetwork(Tier1)","EyeGlassesforChildrenCoinsuranceInNetwork(Tier2)","EyeGlassesforChildrenCoinsuranceOutofNetwork","EyeGlassesforChildrenBenefitInformationEHB","EyeGlassesforChildrenBenefitInformationIsthisBenefitCovered?","EyeGlassesforChildrenBenefitInformationQuantitativeLimitonService","EyeGlassesforChildrenBenefitInformationLimitQuantity","EyeGlassesforChildrenBenefitInformationLimitUnit","EyeGlassesforChildrenBenefitInformationEHBVarianceReason","DentalCheck-UpforChildrenCopayInNetwork(Tier1)","DentalCheck-UpforChildrenCopayInNetwork(Tier2)","DentalCheck-UpforChildrenCopayOutofNetwork","DentalCheck-UpforChildrenCoinsuranceInNetwork(Tier1)","DentalCheck-UpforChildrenCoinsuranceInNetwork(Tier2)","DentalCheck-UpforChildrenCoinsuranceOutofNetwork","DentalCheck-UpforChildrenBenefitInformationEHB","DentalCheck-UpforChildrenBenefitInformationIsthisBenefitCovered?","DentalCheck-UpforChildrenBenefitInformationQuantitativeLimitonService","DentalCheck-UpforChildrenBenefitInformationLimitQuantity","DentalCheck-UpforChildrenBenefitInformationLimitUnit","DentalCheck-UpforChildrenBenefitInformationEHBVarianceReason","RehabilitativeSpeechTherapyCopayInNetwork(Tier1)","RehabilitativeSpeechTherapyCopayInNetwork(Tier2)","RehabilitativeSpeechTherapyCopayOutofNetwork","RehabilitativeSpeechTherapyCoinsuranceInNetwork(Tier1)","RehabilitativeSpeechTherapyCoinsuranceInNetwork(Tier2)","RehabilitativeSpeechTherapyCoinsuranceOutofNetwork","RehabilitativeSpeechTherapyBenefitInformationEHB","RehabilitativeSpeechTherapyBenefitInformationIsthisBenefitCovered?","RehabilitativeSpeechTherapyBenefitInformationQuantitativeLimitonService","RehabilitativeSpeechTherapyBenefitInformationLimitQuantity","RehabilitativeSpeechTherapyBenefitInformationLimitUnit","RehabilitativeSpeechTherapyBenefitInformationEHBVarianceReason","RehabilitativeOccupationalandRehabilitativePhysicalTherapyCopayInNetwork(Tier1)","RehabilitativeOccupationalandRehabilitativePhysicalTherapyCopayInNetwork(Tier2)","RehabilitativeOccupationalandRehabilitativePhysicalTherapyCopayOutofNetwork","RehabilitativeOccupationalandRehabilitativePhysicalTherapyCoinsuranceInNetwork(Tier1)","RehabilitativeOccupationalandRehabilitativePhysicalTherapyCoinsuranceInNetwork(Tier2)","RehabilitativeOccupationalandRehabilitativePhysicalTherapyCoinsuranceOutofNetwork","RehabilitativeOccupationalandRehabilitativePhysicalTherapyBenefitInformationEHB","RehabilitativeOccupationalandRehabilitativePhysicalTherapyBenefitInformationIsthisBenefitCovered?","RehabilitativeOccupationalandRehabilitativePhysicalTherapyBenefitInformationQuantitativeLimitonService","RehabilitativeOccupationalandRehabilitativePhysicalTherapyBenefitInformationLimitQuantity","RehabilitativeOccupationalandRehabilitativePhysicalTherapyBenefitInformationLimitUnit","RehabilitativeOccupationalandRehabilitativePhysicalTherapyBenefitInformationEHBVarianceReason","WellBabyVisitsandCareCopayInNetwork(Tier1)","WellBabyVisitsandCareCopayInNetwork(Tier2)","WellBabyVisitsandCareCopayOutofNetwork","WellBabyVisitsandCareCoinsuranceInNetwork(Tier1)","WellBabyVisitsandCareCoinsuranceInNetwork(Tier2)","WellBabyVisitsandCareCoinsuranceOutofNetwork","WellBabyVisitsandCareBenefitInformationEHB","WellBabyVisitsandCareBenefitInformationIsthisBenefitCovered?","WellBabyVisitsandCareBenefitInformationQuantitativeLimitonService","WellBabyVisitsandCareBenefitInformationLimitQuantity","WellBabyVisitsandCareBenefitInformationLimitUnit","WellBabyVisitsandCareBenefitInformationEHBVarianceReason","LaboratoryOutpatientandProfessionalServicesCopayInNetwork(Tier1)","LaboratoryOutpatientandProfessionalServicesCopayInNetwork(Tier2)","LaboratoryOutpatientandProfessionalServicesCopayOutofNetwork","LaboratoryOutpatientandProfessionalServicesCoinsuranceInNetwork(Tier1)","LaboratoryOutpatientandProfessionalServicesCoinsuranceInNetwork(Tier2)","LaboratoryOutpatientandProfessionalServicesCoinsuranceOutofNetwork","LaboratoryOutpatientandProfessionalServicesBenefitInformationEHB","LaboratoryOutpatientandProfessionalServicesBenefitInformationIsthisBenefitCovered?","LaboratoryOutpatientandProfessionalServicesBenefitInformationQuantitativeLimitonService","LaboratoryOutpatientandProfessionalServicesBenefitInformationLimitQuantity","LaboratoryOutpatientandProfessionalServicesBenefitInformationLimitUnit","LaboratoryOutpatientandProfessionalServicesBenefitInformationEHBVarianceReason","X-raysandDiagnosticImagingCopayInNetwork(Tier1)","X-raysandDiagnosticImagingCopayInNetwork(Tier2)","X-raysandDiagnosticImagingCopayOutofNetwork","X-raysandDiagnosticImagingCoinsuranceInNetwork(Tier1)","X-raysandDiagnosticImagingCoinsuranceInNetwork(Tier2)","X-raysandDiagnosticImagingCoinsuranceOutofNetwork","X-raysandDiagnosticImagingBenefitInformationEHB","X-raysandDiagnosticImagingBenefitInformationIsthisBenefitCovered?","X-raysandDiagnosticImagingBenefitInformationQuantitativeLimitonService","X-raysandDiagnosticImagingBenefitInformationLimitQuantity","X-raysandDiagnosticImagingBenefitInformationLimitUnit","X-raysandDiagnosticImagingBenefitInformationEHBVarianceReason","BasicDentalCare–ChildCopayInNetwork(Tier1)","BasicDentalCare–ChildCopayInNetwork(Tier2)","BasicDentalCare–ChildCopayOutofNetwork","BasicDentalCare–ChildCoinsuranceInNetwork(Tier1)","BasicDentalCare–ChildCoinsuranceInNetwork(Tier2)","BasicDentalCare–ChildCoinsuranceOutofNetwork","BasicDentalCare–ChildBenefitInformationEHB","BasicDentalCare–ChildBenefitInformationIsthisBenefitCovered?","BasicDentalCare–ChildBenefitInformationQuantitativeLimitonService","BasicDentalCare–ChildBenefitInformationLimitQuantity","BasicDentalCare–ChildBenefitInformationLimitUnit","BasicDentalCare–ChildBenefitInformationEHBVarianceReason","Orthodontia–ChildCopayInNetwork(Tier1)","Orthodontia–ChildCopayInNetwork(Tier2)","Orthodontia–ChildCopayOutofNetwork","Orthodontia–ChildCoinsuranceInNetwork(Tier1)","Orthodontia–ChildCoinsuranceInNetwork(Tier2)","Orthodontia–ChildCoinsuranceOutofNetwork","Orthodontia–ChildBenefitInformationEHB","Orthodontia–ChildBenefitInformationIsthisBenefitCovered?","Orthodontia–ChildBenefitInformationQuantitativeLimitonService","Orthodontia–ChildBenefitInformationLimitQuantity","Orthodontia–ChildBenefitInformationLimitUnit","Orthodontia–ChildBenefitInformationEHBVarianceReason","MajorDentalCare–ChildCopayInNetwork(Tier1)","MajorDentalCare–ChildCopayInNetwork(Tier2)","MajorDentalCare–ChildCopayOutofNetwork","MajorDentalCare–ChildCoinsuranceInNetwork(Tier1)","MajorDentalCare–ChildCoinsuranceInNetwork(Tier2)","MajorDentalCare–ChildCoinsuranceOutofNetwork","MajorDentalCare–ChildBenefitInformationEHB","MajorDentalCare–ChildBenefitInformationIsthisBenefitCovered?","MajorDentalCare–ChildBenefitInformationQuantitativeLimitonService","MajorDentalCare–ChildBenefitInformationLimitQuantity","MajorDentalCare–ChildBenefitInformationLimitUnit","MajorDentalCare–ChildBenefitInformationEHBVarianceReason","BasicDentalCare–AdultCopayInNetwork(Tier1)","BasicDentalCare–AdultCopayInNetwork(Tier2)","BasicDentalCare–AdultCopayOutofNetwork","BasicDentalCare–AdultCoinsuranceInNetwork(Tier1)","BasicDentalCare–AdultCoinsuranceInNetwork(Tier2)","BasicDentalCare–AdultCoinsuranceOutofNetwork","BasicDentalCare–AdultBenefitInformationEHB","BasicDentalCare–AdultBenefitInformationIsthisBenefitCovered?","BasicDentalCare–AdultBenefitInformationQuantitativeLimitonService","BasicDentalCare–AdultBenefitInformationLimitQuantity","BasicDentalCare–AdultBenefitInformationLimitUnit","BasicDentalCare–AdultBenefitInformationEHBVarianceReason","Orthodontia–AdultCopayInNetwork(Tier1)","Orthodontia–AdultCopayInNetwork(Tier2)","Orthodontia–AdultCopayOutofNetwork","Orthodontia–AdultCoinsuranceInNetwork(Tier1)","Orthodontia–AdultCoinsuranceInNetwork(Tier2)","Orthodontia–AdultCoinsuranceOutofNetwork","Orthodontia–AdultBenefitInformationEHB","Orthodontia–AdultBenefitInformationIsthisBenefitCovered?","Orthodontia–AdultBenefitInformationQuantitativeLimitonService","Orthodontia–AdultBenefitInformationLimitQuantity","Orthodontia–AdultBenefitInformationLimitUnit","Orthodontia–AdultBenefitInformationEHBVarianceReason","MajorDentalCare–AdultCopayInNetwork(Tier1)","MajorDentalCare–AdultCopayInNetwork(Tier2)","MajorDentalCare–AdultCopayOutofNetwork","MajorDentalCare–AdultCoinsuranceInNetwork(Tier1)","MajorDentalCare–AdultCoinsuranceInNetwork(Tier2)","MajorDentalCare–AdultCoinsuranceOutofNetwork","MajorDentalCare–AdultBenefitInformationEHB","MajorDentalCare–AdultBenefitInformationIsthisBenefitCovered?","MajorDentalCare–AdultBenefitInformationQuantitativeLimitonService","MajorDentalCare–AdultBenefitInformationLimitQuantity","MajorDentalCare–AdultBenefitInformationLimitUnit","MajorDentalCare–AdultBenefitInformationEHBVarianceReason","AbortionforWhichPublicFundingisProhibitedCopayInNetwork(Tier1)","AbortionforWhichPublicFundingisProhibitedCopayInNetwork(Tier2)","AbortionforWhichPublicFundingisProhibitedCopayOutofNetwork","AbortionforWhichPublicFundingisProhibitedCoinsuranceInNetwork(Tier1)","AbortionforWhichPublicFundingisProhibitedCoinsuranceInNetwork(Tier2)","AbortionforWhichPublicFundingisProhibitedCoinsuranceOutofNetwork","AbortionforWhichPublicFundingisProhibitedBenefitInformationEHB","AbortionforWhichPublicFundingisProhibitedBenefitInformationIsthisBenefitCovered?","AbortionforWhichPublicFundingisProhibitedBenefitInformationQuantitativeLimitonService","AbortionforWhichPublicFundingisProhibitedBenefitInformationLimitQuantity","AbortionforWhichPublicFundingisProhibitedBenefitInformationLimitUnit","AbortionforWhichPublicFundingisProhibitedBenefitInformationEHBVarianceReason","TransplantCopayInNetwork(Tier1)","TransplantCopayInNetwork(Tier2)","TransplantCopayOutofNetwork","TransplantCoinsuranceInNetwork(Tier1)","TransplantCoinsuranceInNetwork(Tier2)","TransplantCoinsuranceOutofNetwork","TransplantBenefitInformationEHB","TransplantBenefitInformationIsthisBenefitCovered?","TransplantBenefitInformationQuantitativeLimitonService","TransplantBenefitInformationLimitQuantity","TransplantBenefitInformationLimitUnit","TransplantBenefitInformationEHBVarianceReason","AccidentalDentalCopayInNetwork(Tier1)","AccidentalDentalCopayInNetwork(Tier2)","AccidentalDentalCopayOutofNetwork","AccidentalDentalCoinsuranceInNetwork(Tier1)","AccidentalDentalCoinsuranceInNetwork(Tier2)","AccidentalDentalCoinsuranceOutofNetwork","AccidentalDentalBenefitInformationEHB","AccidentalDentalBenefitInformationIsthisBenefitCovered?","AccidentalDentalBenefitInformationQuantitativeLimitonService","AccidentalDentalBenefitInformationLimitQuantity","AccidentalDentalBenefitInformationLimitUnit","AccidentalDentalBenefitInformationEHBVarianceReason","DialysisCopayInNetwork(Tier1)","DialysisCopayInNetwork(Tier2)","DialysisCopayOutofNetwork","DialysisCoinsuranceInNetwork(Tier1)","DialysisCoinsuranceInNetwork(Tier2)","DialysisCoinsuranceOutofNetwork","DialysisBenefitInformationEHB","DialysisBenefitInformationIsthisBenefitCovered?","DialysisBenefitInformationQuantitativeLimitonService","DialysisBenefitInformationLimitQuantity","DialysisBenefitInformationLimitUnit","DialysisBenefitInformationEHBVarianceReason","AllergyTestingCopayInNetwork(Tier1)","AllergyTestingCopayInNetwork(Tier2)","AllergyTestingCopayOutofNetwork","AllergyTestingCoinsuranceInNetwork(Tier1)","AllergyTestingCoinsuranceInNetwork(Tier2)","AllergyTestingCoinsuranceOutofNetwork","AllergyTestingBenefitInformationEHB","AllergyTestingBenefitInformationIsthisBenefitCovered?","AllergyTestingBenefitInformationQuantitativeLimitonService","AllergyTestingBenefitInformationLimitQuantity","AllergyTestingBenefitInformationLimitUnit","AllergyTestingBenefitInformationEHBVarianceReason","ChemotherapyCopayInNetwork(Tier1)","ChemotherapyCopayInNetwork(Tier2)","ChemotherapyCopayOutofNetwork","ChemotherapyCoinsuranceInNetwork(Tier1)","ChemotherapyCoinsuranceInNetwork(Tier2)","ChemotherapyCoinsuranceOutofNetwork","ChemotherapyBenefitInformationEHB","ChemotherapyBenefitInformationIsthisBenefitCovered?","ChemotherapyBenefitInformationQuantitativeLimitonService","ChemotherapyBenefitInformationLimitQuantity","ChemotherapyBenefitInformationLimitUnit","ChemotherapyBenefitInformationEHBVarianceReason","RadiationCopayInNetwork(Tier1)","RadiationCopayInNetwork(Tier2)","RadiationCopayOutofNetwork","RadiationCoinsuranceInNetwork(Tier1)","RadiationCoinsuranceInNetwork(Tier2)","RadiationCoinsuranceOutofNetwork","RadiationBenefitInformationEHB","RadiationBenefitInformationIsthisBenefitCovered?","RadiationBenefitInformationQuantitativeLimitonService","RadiationBenefitInformationLimitQuantity","RadiationBenefitInformationLimitUnit","RadiationBenefitInformationEHBVarianceReason","DiabetesEducationCopayInNetwork(Tier1)","DiabetesEducationCopayInNetwork(Tier2)","DiabetesEducationCopayOutofNetwork","DiabetesEducationCoinsuranceInNetwork(Tier1)","DiabetesEducationCoinsuranceInNetwork(Tier2)","DiabetesEducationCoinsuranceOutofNetwork","DiabetesEducationBenefitInformationEHB","DiabetesEducationBenefitInformationIsthisBenefitCovered?","DiabetesEducationBenefitInformationQuantitativeLimitonService","DiabetesEducationBenefitInformationLimitQuantity","DiabetesEducationBenefitInformationLimitUnit","DiabetesEducationBenefitInformationEHBVarianceReason","ProstheticDevicesCopayInNetwork(Tier1)","ProstheticDevicesCopayInNetwork(Tier2)","ProstheticDevicesCopayOutofNetwork","ProstheticDevicesCoinsuranceInNetwork(Tier1)","ProstheticDevicesCoinsuranceInNetwork(Tier2)","ProstheticDevicesCoinsuranceOutofNetwork","ProstheticDevicesBenefitInformationEHB","ProstheticDevicesBenefitInformationIsthisBenefitCovered?","ProstheticDevicesBenefitInformationQuantitativeLimitonService","ProstheticDevicesBenefitInformationLimitQuantity","ProstheticDevicesBenefitInformationLimitUnit","ProstheticDevicesBenefitInformationEHBVarianceReason","InfusionTherapyCopayInNetwork(Tier1)","InfusionTherapyCopayInNetwork(Tier2)","InfusionTherapyCopayOutofNetwork","InfusionTherapyCoinsuranceInNetwork(Tier1)","InfusionTherapyCoinsuranceInNetwork(Tier2)","InfusionTherapyCoinsuranceOutofNetwork","InfusionTherapyBenefitInformationEHB","InfusionTherapyBenefitInformationIsthisBenefitCovered?","InfusionTherapyBenefitInformationQuantitativeLimitonService","InfusionTherapyBenefitInformationLimitQuantity","InfusionTherapyBenefitInformationLimitUnit","InfusionTherapyBenefitInformationEHBVarianceReason","TreatmentforTemporomandibularJointDisordersCopayInNetwork(Tier1)","TreatmentforTemporomandibularJointDisordersCopayInNetwork(Tier2)","TreatmentforTemporomandibularJointDisordersCopayOutofNetwork","TreatmentforTemporomandibularJointDisordersCoinsuranceInNetwork(Tier1)","TreatmentforTemporomandibularJointDisordersCoinsuranceInNetwork(Tier2)","TreatmentforTemporomandibularJointDisordersCoinsuranceOutofNetwork","TreatmentforTemporomandibularJointDisordersBenefitInformationEHB","TreatmentforTemporomandibularJointDisordersBenefitInformationIsthisBenefitCovered?","TreatmentforTemporomandibularJointDisordersBenefitInformationQuantitativeLimitonService","TreatmentforTemporomandibularJointDisordersBenefitInformationLimitQuantity","TreatmentforTemporomandibularJointDisordersBenefitInformationLimitUnit","TreatmentforTemporomandibularJointDisordersBenefitInformationEHBVarianceReason","NutritionalCounselingCopayInNetwork(Tier1)","NutritionalCounselingCopayInNetwork(Tier2)","NutritionalCounselingCopayOutofNetwork","NutritionalCounselingCoinsuranceInNetwork(Tier1)","NutritionalCounselingCoinsuranceInNetwork(Tier2)","NutritionalCounselingCoinsuranceOutofNetwork","NutritionalCounselingBenefitInformationEHB","NutritionalCounselingBenefitInformationIsthisBenefitCovered?","NutritionalCounselingBenefitInformationQuantitativeLimitonService","NutritionalCounselingBenefitInformationLimitQuantity","NutritionalCounselingBenefitInformationLimitUnit","NutritionalCounselingBenefitInformationEHBVarianceReason","ReconstructiveSurgeryCopayInNetwork(Tier1)","ReconstructiveSurgeryCopayInNetwork(Tier2)","ReconstructiveSurgeryCopayOutofNetwork","ReconstructiveSurgeryCoinsuranceInNetwork(Tier1)","ReconstructiveSurgeryCoinsuranceInNetwork(Tier2)","ReconstructiveSurgeryCoinsuranceOutofNetwork","ReconstructiveSurgeryBenefitInformationEHB","ReconstructiveSurgeryBenefitInformationIsthisBenefitCovered?","ReconstructiveSurgeryBenefitInformationQuantitativeLimitonService","ReconstructiveSurgeryBenefitInformationLimitQuantity","ReconstructiveSurgeryBenefitInformationLimitUnit","ReconstructiveSurgeryBenefitInformationEHBVarianceReason"]
["Plan Benefit Workbook Name","Benefits Package","HIOS Issuer ID","Market Coverage","Dental Only Plan","HIOS Plan ID*\n(Standard Component)","Plan Marketing Name*","HIOS Product ID*","Network ID*","Service Area ID*","Formulary ID*","Plan Type*","Level of Coverage*","Design Type*","Unique Plan Design?*","QHP/Non-QHP*","Child-Only Offering*","HIOS Plan ID \n(Standard Component + Variant)","CSR Variation Type","Issuer Actuarial Value","AV Calculator Output Number*","Medical & Drug Deductibles Integrated?*","Medical & Drug Maximum Out of Pocket Integrated?*","Multiple In Network Tiers?*","1st Tier Utilization*","2nd Tier Utilization","HSA Eligible*","Maximum Coinsurance for Specialty Drugs","Maximum Number of Days for Charging an Inpatient Copay?","Begin Primary Care Cost-Sharing After a Set Number of Visits?","Begin Primary Care Deductible/ Coinsurance After a Set Number of Copays?","Explanation for Primary Care Visit to Treat an Injury or Illness","Individual ","Family","Individual ","Family","Individual","Family","Individual","Family","Individual ","Family","Individual ","Family","Individual","Family","Individual","Family","Individual ","Family","Individual ","Family","Individual","Family","Individual","Family","Individual","Family","Default Coinsurance","Individual","Family","Default Coinsurance","Individual","Family","Individual","Family","Individual","Family","Default Coinsurance","Individual","Family","Default Coinsurance","Individual","Family","Individual","Family","Individual","Family","Default Coinsurance","Individual","Family","Default Coinsurance","Individual","Family","Individual","Family","Deductible*","Copayment*","Coinsurance*","Limit*","Deductible*","Copayment*","Coinsurance*","Limit*","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","EHB","Is this Benefit Covered?","Quantitative Limit on Service","Limit Quantity","Limit Unit","EHB Variance Reason"]

{"sheet":"All Service Area Data","index":3,"n_rows":2,"n_cols":12,"rows_kept":2,"cut":false,"hidden":false,"merged":[[0,0,0,1],[0,2,0,4]]}
[null,null,"Service Area Template Data Extract"]
["Service Area Workbook Name","HIOS Issuer ID","Service Area ID*","Service Area Name*","State*","County Name","Partial County","Service Area Zip Code(s)","Partial County Justification Filename","County","FIPS Code","SA Unique Key"]

{"sheet":"Plan-Service_Area_Data","index":4,"n_rows":1,"n_cols":20,"rows_kept":1,"cut":false,"hidden":true,"merged":[]}
["HIOS Plan ID*\n(Standard Component)","HIOS Product ID*","Issuer Id","State Code","Issuer Legal Name","Plan Marketing Name","Market Coverage","Dental Only Plan","Metal Level","Child Only Offering","QHP Non QHP Type Id","Plan Type","Source","Suppressed?","Service Area Id","Cover Entire State","Partial County","Zip Codes","County Name","FIPS Code"]

{"sheet":"CountyNames","index":5,"n_rows":3223,"n_cols":3,"rows_kept":3223,"cut":false,"hidden":true,"merged":[]}
["State","County","FIPScode"]
["AK","Aleutians East","02013"]
["AK","Aleutians West","02016"]
["AK","Anchorage","02020"]
["AK","Bethel","02050"]
["AK","Bristol Bay","02060"]
["AK","Denali","02068"]
["AK","Dillingham","02070"]
["AK","Fairbanks North Star","02090"]
["AK","Haines","02100"]
["AK","Hoonah Angoon","02105"]
["AK","Juneau","02110"]
["AK","Kenai Peninsula","02122"]
["AK","Ketchikan Gateway","02130"]
["AK","Kodiak Island","02150"]
["AK","Kusilvak","02158"]
["AK","Lake And Peninsula","02164"]
["AK","Matanuska Susitna","02170"]
["AK","Nome","02180"]
["AK","North Slope","02185"]
["AK","Northwest Arctic","02188"]
["AK","Petersburg","02195"]
["AK","Prince Of Wales Hyder","02198"]
["AK","Sitka","02220"]
["AK","Skagway","02230"]
["AK","Southeast Fairbanks","02240"]
["AK","Valdez Cordova","02261"]
["AK","Wrangell","02275"]
["AK","Yakutat","02282"]
["AK","Yukon Koyukuk","02290"]
["AL","Autauga","01001"]
["AL","Baldwin","01003"]
["AL","Barbour","01005"]
["AL","Bibb","01007"]
["AL","Blount","01009"]
["AL","Bullock","01011"]
["AL","Butler","01013"]
["AL","Calhoun","01015"]
["AL","Chambers","01017"]
["AL","Cherokee","01019"]
["AL","Chilton","01021"]
["AL","Choctaw","01023"]
["AL","Clarke","01025"]
["AL","Clay","01027"]
["AL","Cleburne","01029"]
["AL","Coffee","01031"]
["AL","Colbert","01033"]
["AL","Conecuh","01035"]
["AL","Coosa","01037"]
["AL","Covington","01039"]
["AL","Crenshaw","01041"]
["AL","Cullman","01043"]
["AL","Dale","01045"]
["AL","Dallas","01047"]
["AL","De Kalb","01049"]
["AL","Elmore","01051"]
["AL","Escambia","01053"]
["AL","Etowah","01055"]
["AL","Fayette","01057"]
["AL","Franklin","01059"]
["AL","Geneva","01061"]
["AL","Greene","01063"]
["AL","Hale","01065"]
["AL","Henry","01067"]
["AL","Houston","01069"]
["AL","Jackson","01071"]
["AL","Jefferson","01073"]
["AL","Lamar","01075"]
["AL","Lauderdale","01077"]
["AL","Lawrence","01079"]
["AL","Lee","01081"]
["AL","Limestone","01083"]
["AL","Lowndes","01085"]
["AL","Macon","01087"]
["AL","Madison","01089"]
["AL","Marengo","01091"]
["AL","Marion","01093"]
["AL","Marshall","01095"]
["AL","Mobile","01097"]
["AL","Monroe","01099"]
["AL","Montgomery","01101"]
["AL","Morgan","01103"]
["AL","Perry","01105"]
["AL","Pickens","01107"]
["AL","Pike","01109"]
["AL","Randolph","01111"]
["AL","Russell","01113"]
["AL","Saint Clair","01115"]
["AL","Shelby","01117"]
["AL","Sumter","01119"]
["AL","Talladega","01121"]
["AL","Tallapoosa","01123"]
["AL","Tuscaloosa","01125"]
["AL","Walker","01127"]
["AL","Washington","01129"]
["AL","Wilcox","01131"]
["AL","Winston","01133"]
["AR","Arkansas","05001"]
["AR","Ashley","05003"]
["AR","Baxter","05005"]
["AR","Benton","05007"]
["AR","Boone","05009"]
["AR","Bradley","05011"]
["AR","Calhoun","05013"]
["AR","Carroll","05015"]
["AR","Chicot","05017"]
["AR","Clark","05019"]
["AR","Clay","05021"]
["AR","Cleburne","05023"]
["AR","Cleveland","05025"]
["AR","Columbia","05027"]
["AR","Conway","05029"]
["AR","Craighead","05031"]
["AR","Crawford","05033"]
["AR","Crittenden","05035"]
["AR","Cross","05037"]
["AR","Dallas","05039"]
["AR","Desha","05041"]
["AR","Drew","05043"]
["AR","Faulkner","05045"]
["AR","Franklin","05047"]
["AR","Fulton","05049"]
["AR","Garland","05051"]
["AR","Grant","05053"]
["AR","Greene","05055"]
["AR","Hempstead","05057"]
["AR","Hot Spring","05059"]
["AR","Howard","05061"]
["AR","Independence","05063"]
["AR","Izard","05065"]
["AR","Jackson","05067"]
["AR","Jefferson","05069"]
["AR","Johnson","05071"]
["AR","Lafayette","05073"]
["AR","Lawrence","05075"]
["AR","Lee","05077"]
["AR","Lincoln","05079"]
["AR","Little River","05081"]
["AR","Logan","05083"]
["AR","Lonoke","05085"]
["AR","Madison","05087"]
["AR","Marion","05089"]
["AR","Miller","05091"]
["AR","Mississippi","05093"]
["AR","Monroe","05095"]
["AR","Montgomery","05097"]
["AR","Nevada","05099"]
["AR","Newton","05101"]
["AR","Ouachita","05103"]
["AR","Perry","05105"]
["AR","Phillips","05107"]
["AR","Pike","05109"]
["AR","Poinsett","05111"]
["AR","Polk","05113"]
["AR","Pope","05115"]
["AR","Prairie","05117"]
["AR","Pulaski","05119"]
["AR","Randolph","05121"]
["AR","Saint Francis","05123"]
["AR","Saline","05125"]
["AR","Scott","05127"]
["AR","Searcy","05129"]
["AR","Sebastian","05131"]
["AR","Sevier","05133"]
["AR","Sharp","05135"]
["AR","Stone","05137"]
["AR","Union","05139"]
["AR","Van Buren","05141"]
["AR","Washington","05143"]
["AR","White","05145"]
["AR","Woodruff","05147"]
["AR","Yell","05149"]
["AZ","Apache","04001"]
["AZ","Cochise","04003"]
["AZ","Coconino","04005"]
["AZ","Gila","04007"]
["AZ","Graham","04009"]
["AZ","Greenlee","04011"]
["AZ","La Paz","04012"]
["AZ","Maricopa","04013"]
["AZ","Mohave","04015"]
["AZ","Navajo","04017"]
["AZ","Pima","04019"]
["AZ","Pinal","04021"]
["AZ","Santa Cruz","04023"]
["AZ","Yavapai","04025"]
["AZ","Yuma","04027"]
["CA","Alameda","06001"]
["CA","Alpine","06003"]
["CA","Amador","06005"]
["CA","Butte","06007"]
["CA","Calaveras","06009"]
["CA","Colusa","06011"]
["CA","Contra Costa","06013"]
["CA","Del Norte","06015"]
["CA","El Dorado","06017"]
["CA","Fresno","06019"]
["CA","Glenn","06021"]
["CA","Humboldt","06023"]
["CA","Imperial","06025"]
["CA","Inyo","06027"]
["CA","Kern","06029"]
["CA","Kings","06031"]
["CA","Lake","06033"]
["CA","Lassen","06035"]
["CA","Los Angeles","06037"]
["CA","Madera","06039"]
["CA","Marin","06041"]
["CA","Mariposa","06043"]
["CA","Mendocino","06045"]
["CA","Merced","06047"]
["CA","Modoc","06049"]
["CA","Mono","06051"]
["CA","Monterey","06053"]
["CA","Napa","06055"]
["CA","Nevada","06057"]
["CA","Orange","06059"]
["CA","Placer","06061"]
["CA","Plumas","06063"]
["CA","Riverside","06065"]
["CA","Sacramento","06067"]
["CA","San Benito","06069"]
["CA","San Bernardino","06071"]
["CA","San Diego","06073"]
["CA","San Francisco","06075"]
["CA","San Joaquin","06077"]
["CA","San Luis Obispo","06079"]
["CA","San Mateo","06081"]
["CA","Santa Barbara","06083"]
["CA","Santa Clara","06085"]
["CA","Santa Cruz","06087"]
["CA","Shasta","06089"]
["CA","Sierra","06091"]
["CA","Siskiyou","06093"]
["CA","Solano","06095"]
["CA","Sonoma","06097"]
["CA","Stanislaus","06099"]
["CA","Sutter","06101"]
["CA","Tehama","06103"]
["CA","Trinity","06105"]
["CA","Tulare","06107"]
["CA","Tuolumne","06109"]
["CA","Ventura","06111"]
["CA","Yolo","06113"]
["CA","Yuba","06115"]
["CO","Adams","08001"]
["CO","Alamosa","08003"]
["CO","Arapahoe","08005"]
["CO","Archuleta","08007"]
["CO","Baca","08009"]
["CO","Bent","08011"]
["CO","Boulder","08013"]
["CO","Broomfield","08014"]
["CO","Chaffee","08015"]
["CO","Cheyenne","08017"]
["CO","Clear Creek","08019"]
["CO","Conejos","08021"]
["CO","Costilla","08023"]
["CO","Crowley","08025"]
["CO","Custer","08027"]
["CO","Delta","08029"]
["CO","Denver","08031"]
["CO","Dolores","08033"]
["CO","Douglas","08035"]
["CO","Eagle","08037"]
["CO","El Paso","08041"]
["CO","Elbert","08039"]
["CO","Fremont","08043"]
["CO","Garfield","08045"]
["CO","Gilpin","08047"]
["CO","Grand","08049"]
["CO","Gunnison","08051"]
["CO","Hinsdale","08053"]
["CO","Huerfano","08055"]
["CO","Jackson","08057"]
["CO","Jefferson","08059"]
["CO","Kiowa","08061"]
["CO","Kit Carson","08063"]
["CO","La Plata","08067"]
["CO","Lake","08065"]
["CO","Larimer","08069"]
["CO","Las Animas","08071"]
["CO","Lincoln","08073"]
["CO","Logan","08075"]
["CO","Mesa","08077"]
["CO","Mineral","08079"]
["CO","Moffat","08081"]
["CO","Montezuma","08083"]
["CO","Montrose","08085"]
["CO","Morgan","08087"]
["CO","Otero","08089"]
["CO","Ouray","08091"]
["CO","Park","08093"]
["CO","Phillips","08095"]
["CO","Pitkin","08097"]
["CO","Prowers","08099"]
["CO","Pueblo","08101"]
["CO","Rio Blanco","08103"]
["CO","Rio Grande","08105"]
["CO","Routt","08107"]
["CO","Saguache","08109"]
["CO","San Juan","08111"]
["CO","San Miguel","08113"]
["CO","Sedgwick","08115"]
["CO","Summit","08117"]
["CO","Teller","08119"]
["CO","Washington","08121"]
["CO","Weld","08123"]
["CO","Yuma","08125"]
["CT","Fairfield","09001"]
["CT","Hartford","09003"]
["CT","Litchfield","09005"]
["CT","Middlesex","09007"]
["CT","New Haven","09009"]
["CT","New London","09011"]
["CT","Tolland","09013"]
["CT","Windham","09015"]
["DC","District Of Columbia","11001"]
["DE","Kent","10001"]
["DE","New Castle","10003"]
["DE","Sussex","10005"]
["FL","Alachua","12001"]
["FL","Baker","12003"]
["FL","Bay","12005"]
["FL","Bradford","12007"]
["FL","Brevard","12009"]
["FL","Broward","12011"]
["FL","Calhoun","12013"]
["FL","Charlotte","12015"]
["FL","Citrus","12017"]
["FL","Clay","12019"]
["FL","Collier","12021"]
["FL","Columbia","12023"]
["FL","De Soto","12027"]
["FL","Dixie","12029"]
["FL","Duval","12031"]
["FL","Escambia","12033"]
["FL","Flagler","12035"]
["FL","Franklin","12037"]
["FL","Gadsden","12039"]
["FL","Gilchrist","12041"]
["FL","Glades","12043"]
["FL","Gulf","12045"]
["FL","Hamilton","12047"]
["FL","Hardee","12049"]
["FL","Hendry","12051"]
["FL","Hernando","12053"]
["FL","Highlands","12055"]
["FL","Hillsborough","12057"]
["FL","Holmes","12059"]
["FL","Indian River","12061"]
["FL","Jackson","12063"]
["FL","Jefferson","12065"]
["FL","Lafayette","12067"]
["FL","Lake","12069"]
["FL","Lee","12071"]
["FL","Leon","12073"]
["FL","Levy","12075"]
["FL","Liberty","12077"]
["FL","Madison","12079"]
["FL","Manatee","12081"]
["FL","Marion","12083"]
["FL","Martin","12085"]
["FL","Miami","12086"]
["FL","Monroe","12087"]
["FL","Nassau","12089"]
["FL","Okaloosa","12091"]
["FL","Okeechobee","12093"]
["FL","Orange","12095"]
["FL","Osceola","12097"]
["FL","Palm Beach","12099"]
["FL","Pasco","12101"]
["FL","Pinellas","12103"]
["FL","Polk","12105"]
["FL","Putnam","12107"]
["FL","Saint Johns","12109"]
["FL","Saint Lucie","12111"]
["FL","Santa Rosa","12113"]
["FL","Sarasota","12115"]
["FL","Seminole","12117"]
["FL","Sumter","12119"]
["FL","Suwannee","12121"]
["FL","Taylor","12123"]
["FL","Union","12125"]
["FL","Volusia","12127"]
["FL","Wakulla","12129"]
["FL","Walton","12131"]
["FL","Washington","12133"]
["GA","Appling","13001"]
["GA","Atkinson","13003"]
["GA","Bacon","13005"]
["GA","Baker","13007"]
["GA","Baldwin","13009"]
["GA","Banks","13011"]
["GA","Barrow","13013"]
["GA","Bartow","13015"]
["GA","Ben Hill","13017"]
["GA","Berrien","13019"]
["GA","Bibb","13021"]
["GA","Bleckley","13023"]
["GA","Brantley","13025"]
["GA","Brooks","13027"]
["GA","Bryan","13029"]
["GA","Bulloch","13031"]
["GA","Burke","13033"]
["GA","Butts","13035"]
["GA","Calhoun","13037"]
["GA","Camden","13039"]
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["NE","Sarpy","31153"]
["NE","Saunders","31155"]
["NE","Scotts Bluff","31157"]
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["NH","Grafton","33009"]
["NH","Hillsborough","33011"]
["NH","Merrimack","33013"]
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["NH","Strafford","33017"]
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["NM","Cibola","35006"]
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["NM","Harding","35021"]
["NM","Hidalgo","35023"]
["NM","Lea","35025"]
["NM","Lincoln","35027"]
["NM","Los Alamos","35028"]
["NM","Luna","35029"]
["NM","Mckinley","35031"]
["NM","Mora","35033"]
["NM","Otero","35035"]
["NM","Quay","35037"]
["NM","Rio Arriba","35039"]
["NM","Roosevelt","35041"]
["NM","San Juan","35045"]
["NM","San Miguel","35047"]
["NM","Sandoval","35043"]
["NM","Santa Fe","35049"]
["NM","Sierra","35051"]
["NM","Socorro","35053"]
["NM","Taos","35055"]
["NM","Torrance","35057"]
["NM","Union","35059"]
["NM","Valencia","35061"]
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["NV","Clark","32003"]
["NV","Douglas","32005"]
["NV","Elko","32007"]
["NV","Esmeralda","32009"]
["NV","Eureka","32011"]
["NV","Humboldt","32013"]
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["NV","Lyon","32019"]
["NV","Mineral","32021"]
["NV","Nye","32023"]
["NV","Pershing","32027"]
["NV","Storey","32029"]
["NV","Washoe","32031"]
["NV","White Pine","32033"]
["NY","Albany","36001"]
["NY","Allegany","36003"]
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["NY","Rensselaer","36083"]
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["NY","Schenectady","36093"]
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["OH","Adams","39001"]
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["OH","Ashland","39005"]
["OH","Ashtabula","39007"]
["OH","Athens","39009"]
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["OH","Champaign","39021"]
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["OH","Clermont","39025"]
["OH","Clinton","39027"]
["OH","Columbiana","39029"]
["OH","Coshocton","39031"]
["OH","Crawford","39033"]
["OH","Cuyahoga","39035"]
["OH","Darke","39037"]
["OH","Defiance","39039"]
["OH","Delaware","39041"]
["OH","Erie","39043"]
["OH","Fairfield","39045"]
["OH","Fayette","39047"]
["OH","Franklin","39049"]
["OH","Fulton","39051"]
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["OH","Geauga","39055"]
["OH","Greene","39057"]
["OH","Guernsey","39059"]
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["OH","Hancock","39063"]
["OH","Hardin","39065"]
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["OH","Licking","39089"]
["OH","Logan","39091"]
["OH","Lorain","39093"]
["OH","Lucas","39095"]
["OH","Madison","39097"]
["OH","Mahoning","39099"]
["OH","Marion","39101"]
["OH","Medina","39103"]
["OH","Meigs","39105"]
["OH","Mercer","39107"]
["OH","Miami","39109"]
["OH","Monroe","39111"]
["OH","Montgomery","39113"]
["OH","Morgan","39115"]
["OH","Morrow","39117"]
["OH","Muskingum","39119"]
["OH","Noble","39121"]
["OH","Ottawa","39123"]
["OH","Paulding","39125"]
["OH","Perry","39127"]
["OH","Pickaway","39129"]
["OH","Pike","39131"]
["OH","Portage","39133"]
["OH","Preble","39135"]
["OH","Putnam","39137"]
["OH","Richland","39139"]
["OH","Ross","39141"]
["OH","Sandusky","39143"]
["OH","Scioto","39145"]
["OH","Seneca","39147"]
["OH","Shelby","39149"]
["OH","Stark","39151"]
["OH","Summit","39153"]
["OH","Trumbull","39155"]
["OH","Tuscarawas","39157"]
["OH","Union","39159"]
["OH","Van Wert","39161"]
["OH","Vinton","39163"]
["OH","Warren","39165"]
["OH","Washington","39167"]
["OH","Wayne","39169"]
["OH","Williams","39171"]
["OH","Wood","39173"]
["OH","Wyandot","39175"]
["OK","Adair","40001"]
["OK","Alfalfa","40003"]
["OK","Atoka","40005"]
["OK","Beaver","40007"]
["OK","Beckham","40009"]
["OK","Blaine","40011"]
["OK","Bryan","40013"]
["OK","Caddo","40015"]
["OK","Canadian","40017"]
["OK","Carter","40019"]
["OK","Cherokee","40021"]
["OK","Choctaw","40023"]
["OK","Cimarron","40025"]
["OK","Cleveland","40027"]
["OK","Coal","40029"]
["OK","Comanche","40031"]
["OK","Cotton","40033"]
["OK","Craig","40035"]
["OK","Creek","40037"]
["OK","Custer","40039"]
["OK","Delaware","40041"]
["OK","Dewey","40043"]
["OK","Ellis","40045"]
["OK","Garfield","40047"]
["OK","Garvin","40049"]
["OK","Grady","40051"]
["OK","Grant","40053"]
["OK","Greer","40055"]
["OK","Harmon","40057"]
["OK","Harper","40059"]
["OK","Haskell","40061"]
["OK","Hughes","40063"]
["OK","Jackson","40065"]
["OK","Jefferson","40067"]
["OK","Johnston","40069"]
["OK","Kay","40071"]
["OK","Kingfisher","40073"]
["OK","Kiowa","40075"]
["OK","Latimer","40077"]
["OK","Le Flore","40079"]
["OK","Lincoln","40081"]
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["OK","Love","40085"]
["OK","Major","40093"]
["OK","Marshall","40095"]
["OK","Mayes","40097"]
["OK","Mcclain","40087"]
["OK","Mccurtain","40089"]
["OK","Mcintosh","40091"]
["OK","Murray","40099"]
["OK","Muskogee","40101"]
["OK","Noble","40103"]
["OK","Nowata","40105"]
["OK","Okfuskee","40107"]
["OK","Oklahoma","40109"]
["OK","Okmulgee","40111"]
["OK","Osage","40113"]
["OK","Ottawa","40115"]
["OK","Pawnee","40117"]
["OK","Payne","40119"]
["OK","Pittsburg","40121"]
["OK","Pontotoc","40123"]
["OK","Pottawatomie","40125"]
["OK","Pushmataha","40127"]
["OK","Roger Mills","40129"]
["OK","Rogers","40131"]
["OK","Seminole","40133"]
["OK","Sequoyah","40135"]
["OK","Stephens","40137"]
["OK","Texas","40139"]
["OK","Tillman","40141"]
["OK","Tulsa","40143"]
["OK","Wagoner","40145"]
["OK","Washington","40147"]
["OK","Washita","40149"]
["OK","Woods","40151"]
["OK","Woodward","40153"]
["OR","Baker","41001"]
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["TN","Crockett","47033"]
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["WY","56005"]
["WY","56007"]
["WY","56009"]
["WY","56011"]
["WY","56013"]
["WY","56015"]
["WY","56017"]
["WY","56019"]
["WY","56021"]
["WY","56023"]
["WY","56025"]
["WY","56027"]
["WY","56029"]
["WY","56031"]
["WY","56033"]
["WY","56035"]
["WY","56037"]
["WY","56039"]
["WY","56041"]
["WY","56043"]
["WY","56045"]
["AS","60010"]
["AS","60020"]
["AS","60030"]
["AS","60040"]
["AS","60050"]
["GU","66010"]
["MP","69085"]
["MP","69100"]
["MP","69110"]
["MP","69120"]
["PR","72001"]
["PR","72003"]
["PR","72005"]
["PR","72007"]
["PR","72009"]
["PR","72011"]
["PR","72013"]
["PR","72015"]
["PR","72017"]
["PR","72019"]
["PR","72021"]
["PR","72023"]
["PR","72025"]
["PR","72027"]
["PR","72029"]
["PR","72031"]
["PR","72033"]
["PR","72035"]
["PR","72037"]
["PR","72039"]
["PR","72041"]
["PR","72043"]
["PR","72045"]
["PR","72047"]
["PR","72049"]
["PR","72051"]
["PR","72053"]
["PR","72054"]
["PR","72055"]
["PR","72057"]
["PR","72059"]
["PR","72061"]
["PR","72063"]
["PR","72065"]
["PR","72067"]
["PR","72069"]
["PR","72071"]
["PR","72073"]
["PR","72075"]
["PR","72077"]
["PR","72079"]
["PR","72081"]
["PR","72083"]
["PR","72085"]
["PR","72087"]
["PR","72089"]
["PR","72091"]
["PR","72093"]
["PR","72095"]
["PR","72097"]
["PR","72099"]
["PR","72101"]
["PR","72103"]
["PR","72105"]
["PR","72107"]
["PR","72109"]
["PR","72111"]
["PR","72113"]
["PR","72115"]
["PR","72117"]
["PR","72119"]
["PR","72121"]
["PR","72123"]
["PR","72125"]
["PR","72127"]
["PR","72129"]
["PR","72131"]
["PR","72133"]
["PR","72135"]
["PR","72137"]
["PR","72139"]
["PR","72141"]
["PR","72143"]
["PR","72145"]
["PR","72147"]
["PR","72149"]
["PR","72151"]
["PR","72153"]
["UM","74300"]
["VI","78010"]
["VI","78020"]
["VI","78030"]

{"sheet":"All ECP Data","index":7,"n_rows":2,"n_cols":19,"rows_kept":2,"cut":false,"hidden":false,"merged":[[0,1,0,6]]}
[null,"Essential Community Provider (ECP) Template Data Extract"]
["ECP Workbook Name","HIOS Issuer ID","ECP Standard","ECP Reference Number","HPSA ID","National Provider Identifier (NPI)","Organization Name","Provider Site Name","ECP Category","Street Address","Street Address 2","City","State","County","Zip","Network IDs*","Hospital Bed Count","Number of Medical FTEs","Number of Dental FTEs"]

{"sheet":"All Formulary Tier Data","index":8,"n_rows":2,"n_cols":20,"rows_kept":2,"cut":false,"hidden":false,"merged":[[0,0,0,1],[0,2,0,8]]}
[null,null,"Prescription Drug Formulary Template Data Extract - Fomulary Tiers tab"]
["Prescription Drug Workbook Name","State","HIOS Issuer ID","Market","Formulary ID*","Drug List ID*","Number of Tiers*","Drug Tier ID*","Drug Tier Type*","1 Month In Network Retail Pharmacy Copayment*","1 Month In Network Retail Pharmacy Coinsurance*","1 Month Out of Network Retail Pharmacy Benefit Offered?*","1 Month Out of Network Retail Pharmacy Copayment*","1 Month Out of Network Retail Pharmacy Coinsurance*","3 Month In Network Mail Order Pharmacy Benefit Offered?*","3 Month In Network Mail Order Pharmacy Copayment*","3 Month In Network Mail Order Pharmacy Coinsurance*","3 Month Out of Network Mail Order Pharmacy Benefit Offered?*","3 Month Out of Network Mail Order Pharmacy Copayment*","3 Month Out of Network Mail Order Pharmacy Coinsurance*"]

{"sheet":"SilverGoldOutput","index":9,"n_rows":1,"n_cols":7,"rows_kept":1,"cut":false,"hidden":false,"merged":[]}
["State","IssuerID","Description of Issue","FIPS","County",null,"* Denotes partial counties without a silver/gold plan"]

{"sheet":"Drop Down","index":10,"n_rows":10,"n_cols":111,"rows_kept":10,"cut":false,"hidden":true,"merged":[]}
["Review Result","Elements 1-18, 19a, 27",null,"19-a","19-b",null,20,null,22,null,"23-a","23-b","23-c","23-d",null,"24-a (row 55)","24-b (row 56)","24-a  (Goal 1, Measure 1a)","24-b (a) (Row 61)","24-c (a)","24-d (a)","24-e (a)","24-f ","24-g","24-h","24-i","24-j",null,"24-a (Row 71, Goal 1, Measure 1b)","24-b","24-c","24-d","24-e","24-f","24-g","24-h","24-i","24-j",null,"24-a (Row 83, Goal 2, Measure 2a)","24-b","24-c","24-d","24-e","24-f","24-g","24-h","24-i","24-j",null,"24-a Row 95, Goal 2, Measure 2b)","24-b","24-c","24-d","24-e","24-f","24-g","24-h","24-i","24-j",null,"25-a","25-b",null,"26-a","26-b",null,"Column F: Yes/No/NA",null,"Progress Report Section",null,28,"28-a","28-b","28-c",29,"29 Goal 1","29-a","29-b","29-c","29-d","29-e","29-e","Element 29: Goal 1: Measure 1b","29-a","29-b ","29-c ","29-d","29-e","29-e","29 Goal 2","29-a","29-b","29-c","29-d","29-e","29-e","Element 29: Goal 2: Measure 2b","29-a","29-b ","29-c ","29-d","29-e","29-e",30,null,"31-a","31-b",null,"32-a","32-b"]
["Meets","Missing Information  ",null,null,"Element 19: The market-based incentive does not meet the QIS requirements.",null,"Element 20: The topic area(s) selected for this QIS do not align with evidence supplied for other criteria.",null,"Element 22: The rationale description is not clear about how the QIS addresses the needs of the current QHP enrollee population(s).",null,"Criterion 23a: Activities that will be implemented to achieve identified goal(s) are not provided.","Criterion 23b: Activities provided do not relate to the selected market-based incentive (see Element 19).","Criterion 23c: Activities provided do not relate to the topic area(s) selected (see Element 20).","Criterion 23d: Issuer checked “Not Applicable” but does not meet the “Not Applicable” conditions. Issuer must provide a description since the QIS includes activities to address health and health care disparities.",null,"Element 24: Goal 1: Goal 1 does not match Goal 1 provided in Element 18. ","Element 24: Goal 2: Goal 2 does not match Goal 2 provided in Element 18.","Criterion 24a: Measure 1a: Measure name does not align with numerator and/or denominator.","Criterion 24a: Measure 1a: Narrative description of the numerator and denominator is not provided.",null,null,"Criterion 24b: Measure 1a: Description does not explain how Measure 1a supports Goal 1.","Criterion 24d: Measure 1a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment.","Criterion 24c: Measure 1a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ",null,"Criterion 24d: Measure 1a: It is unclear how the performance period relates to the QIS goal(s).","Criterion 24e: Measure 1a: Numerical value performance target is not provided.",null,"Criterion 24a: Measure 1b: Measure name does not align with numerator and/or denominator.","Criterion 24a: Measure 1b: Narrative description of the numerator and denominator is not provided.","Missing Information","Missing Information",null,"Criterion 24b: Measure 1b: Description does not explain how Measure 1b supports Goal 1.","Criterion 24c: Measure 1b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ",null,"Criterion 24d: Measure 1b: It is unclear how the performance period relates to the QIS goal(s).","Criterion 24e: Measure 1b: Numerical value performance target is not provided.",null,"Criterion 24a: Measure 2a: Measure name does not align with numerator and/or denominator.","Criterion 24a: Measure 2a: Narrative description of the numerator and denominator is not provided.",null,null,null,"Criterion 24b: Measure 2a: Description does not explain how Measure 2a supports Goal 2.","Criterion 24c: Measure 2a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ",null,"Criterion 24d: Measure 2a: It is unclear how the performance period relates to the QIS goal(s).","Criterion 24e: Measure 2a: Numerical value performance target is not provided.",null,"Criterion 24a: Measure 2b: Measure name does not align with numerator and/or denominator.","Criterion 24a: Measure 2b: Narrative description of the numerator and denominator is not provided.",null,null,null,"Criterion 24b: Measure 2b: Description does not explain how Measure 2b supports Goal 2.","Criterion 24c: Measure 2b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ",null,"Criterion 24d: Measure 2b: It is unclear how the performance period relates to the QIS goal(s).","Criterion 24e: Measure 2b: Numerical value performance target is not provided.",null,"Criterion 25a: QIS Initiation/Start date invalid (date must be January 2017 for continued QIS submissions and January 2018 for new QIS submissions, or earlier).","Criterion 25b: Milestone(s) are not related to activities described in Element 23.",null,"Criterion 26a: Barriers are not aligned with QIS.","Criterion 26b: Mitigation activities are not aligned with barriers provided in Criterion 26a.",null,"Yes",null,null,null,"Element 28: QIS Modifications","Criterion 28a: Issuer did not indicate the type of modications made to activities of the QIS (Element 23), and did not check \"Not Applicable.\"","Criterion 28b: Issuer did not indicate the type of modifications made to Goal 1 of the QIS (Element 18), and did not check \"Not Applicable.\"","Criterion 28c: Issuer did not indicate the type of modifications made to Measure 1a of the QIS (Element 24), and did not check “Not Applicable.” ","Element 29: Goal 1: Goal 1 does not match Implementation Plan.","Element 29: Goal 1: Goal was not provided.","Criterion 29a: Measure 1a: It is unclear how the performance period relates to the QIS goal(s)..","Criterion 29b: Measure 1a: It is unclear how the performance period relates to the QIS goal(s).","Criterion 29c: Measure 1a: Measure name does not align with numerator and/or denominator.","Criterion 29d: Measure 1a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 1a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 1a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ",null,"Criterion 29a: Measure 1b: It is unclear how the performance period relates to the QIS goal(s)..","Criterion 29b: Measure 1b: It is unclear how the performance period relates to the QIS goal(s).","Criterion 29c: Measure 1b: Measure name does not align with numerator and/or denominator.","Criterion 29d: Measure 1b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 1b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 1b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Element 29: Goal 2: Goal was not provided.","Criterion 29a: Measure 2a: It is unclear how the performance period relates to the QIS goal(s)..","Criterion 29b: Measure 2a: It is unclear how the performance period relates to the QIS goal(s).","Criterion 29c: Measure 2a: Measure name does not align with numerator and/or denominator.","Criterion 29d: Measure 2a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 2a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 2a: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ",null,"Criterion 29a: Measure 2b: It is unclear how the performance period relates to the QIS goal(s).","Criterion 29b: Measure 2b: It is unclear how the performance period relates to the QIS goal(s)..","Criterion 29c: Measure 2b: Measure name does not align with numerator and/or denominator.","Criterion 29d: Measure 2b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 2b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Criterion 29e: Measure 2b: It is unclear how the value(s) provided relate(s) to the Baseline Assessment. ","Element 30: Explanation of why progress was or was not made toward the performance target(s) documented in Element 24 is not provided.",null,"Criterion 31a: Issuer checked “Yes,” that barriers were encountered, but did not accurately describe the barriers. ","Criterion 31b: Issuer checked “Yes,” that they encountered problems meeting timelines, but did not accurately describe the problems in meeting timelines.",null,"Criterion 32a: Mitigation activities are not aligned with barriers provided in Criterion 31a.","Criterion 32b: Mitigation activities are not aligned with problems meeting timelines provided in Criterion 31b."]
["Does Not Meet","Other",null,null,"Element 19: Provider “in-kind incentive” sub-type is checked, but description is not provided.",null,"Missing Information",null,"Element 22: The rationale description does not define the current QHP enrollee population(s).",null,"Criterion 23a: The activities provided do not align with identified goal(s).","Criterion 23b: Description of how the activities relate to the market-based incentive does not match the activities listed in Criterion 23a.","Criterion 23c: Description of how the activities relate to the topic area(s) does not match the activities listed in Criterion 23a.","Criterion 23d: The description that the issuer provided did not adequately describe how it will address health and health care disparities.",null,"Element 24: Goal 1: Relationship of Goal 1 to the selected topic area (s) is not clear.","Element 24: Goal 2: Relationship of Goal 2 to the selected topic area (s) is not clear.","Criterion 24a: Measure 1a: Issuer indicated in Criterion 28c that the measure was modified, but modification is not reflected in Criterion 24a.","Criterion 24a: Measure 1a: Narrative description of the numerator is not provided.",null,null,"Criterion 24b: Measure 1a: Description of how Measure 1a supports tracking of performance is not related to Goal 1.","Missing Information","Missing Information",null,"Missing Information","Criterion 24e: Measure 1a: It is unclear how the performance target provided relates to the Baseline Assessment.",null,"Criterion 24a: Measure 1b: Issuer indicated in Criterion 28c that the measure was modified, but modification is not reflected in Criterion 24a.","Criterion 24a: Measure 1b: Narrative description of the numerator is not provided.","Other","Other",null,"Criterion 24b: Measure 1b: Description of how Measure 1b supports tracking of performance is not related to Goal 1.","Missing Information",null,"Missing Information","Criterion 24e: Measure 1b: It is unclear how the performance target provided relates to the Baseline Assessment.",null,"Criterion 24a: Measure 2a: Issuer indicated in Criterion 28c that the measure was modified, but modification is not reflected in Criterion 24a.","Criterion 24a: Measure 2a: Narrative description of the numerator is not provided.",null,null,null,"Criterion 24b: Measure 2a: Description of how Measure 2a supports tracking of performance is not related to Goal 2.","Missing Information",null,"Missing Information","Criterion 24e: Measure 2a: It is unclear how the performance target provided relates to the Baseline Assessment.",null,"Criterion 24a: Measure 2b: Issuer indicated in Criterion 28c that the measure was modified, but modification is not reflected in Criterion 24a.","Criterion 24a: Measure 2b: Narrative description of the numerator is not provided.",null,null,null,"Criterion 24b: Measure 2b: Description of how Measure 2b supports tracking of performance is not related to Goal 2.","Missing Information",null,"Missing Information","Criterion 24e: Measure 2b: It is unclear how the performance target provided relates to the Baseline Assessment.",null,"Missing Information","Missing Information",null,"Missing Information","Missing Information",null,"No",null,null,null,null,"Criterion 28a: The rationale for modifications is not provided. ","Criterion 28b: Issuer did not indicate the type of modifications made to Goal 2 of the QIS (Element 18), and did not check \"Not Applicable.\"","Criterion 28c: Issuer did not indicate the type of modifications made to Measure 1b of the QIS (Element 24), and did not check “Not Applicable.”","Element 29: Goal 1: Relationship of Goal 1 to the selected topic area(s) (Element 20) is not clear.","Element 29: Goal 1: Goal 1 does not match Goal 1 provided in this year’s Implementation Plan.","Missing Information","Criterion 29b: Measure 1a: Issuer indicated the same timeframe for their Baseline (Criterion 29a) and Progress Report (Criterion 29b) performance periods. ","Criterion 29c: Measure 1a: Measure 1a name does not align with Measure 1a name in Element 24a.","Criterion 29d: Measure 1a: The baseline results from Criterion 24c do not match the baseline results in Criterion 29d.","Criterion 29e: Measure 1a: It is unclear how the value(s) provided relate(s) to the follow-up results.","Criterion 29e: Measure 1a: It is unclear how the value(s) provided relate(s) to the follow-up results.",null,"Missing Information","Criterion 29b: Measure 1b: Issuer indicated the same timeframe for their Baseline (Criterion 29a) and Progress Report (Criterion 29b) performance periods. ","Criterion 29c: Measure 1b: Measure 1b name does not align with Measure 1b name in Element 24a.","Criterion 29d: Measure 1b: The baseline results from Criterion 24c do not match the baseline results in Criterion 29d.","Criterion 29e: Measure 1b: It is unclear how the value(s) provided relate(s) to the follow-up results.","Criterion 29e: Measure 1b: It is unclear how the value(s) provided relate(s) to the follow-up results.","Element 29: Goal 2: Goal 2 does not match Goal 2 provided in this year’s Implementation Plan.","Missing Information","Criterion 29b: Measure 2a: Issuer indicated the same timeframe for their Baseline (Criterion 29a) and Progress Report (Criterion 29b) performance periods. ","Criterion 29c: Measure 2a: Measure 2a name does not align with Measure 2a name in Element 24a.","Criterion 29d: Measure 2a: The baseline results from Criterion 24c do not match the baseline results in Criterion 29d.","Criterion 29e: Measure 2a: It is unclear how the value(s) provided relate(s) to the follow-up results.","Criterion 29e: Measure 2a: It is unclear how the value(s) provided relate(s) to the follow-up results.",null,"Missing Information","Criterion 29b: Measure 2b: Issuer indicated the same timeframe for their Baseline (Criterion 29a) and Progress Report (Criterion 29b) performance periods. ","Criterion 29c: Measure 2b: Measure 2b name does not align with Measure 2b name in Element 24a.","Criterion 29d: Measure 2b: The baseline results from Criterion 24c do not match the baseline results in Criterion 29d.","Criterion 29e: Measure 2b: It is unclear how the value(s) provided relate(s) to the follow-up results.","Criterion 29e: Measure 2b: It is unclear how the value(s) provided relate(s) to the follow-up results.","Element 30: Explanation of why progress was or was not made toward the performance target(s) documented in Element 24 do not include a description of activities that led to the outcome. ",null,"Criterion 31a: Barriers are not aligned with the QIS.","Missing Information",null,"Criterion 32a: Mitigation activities are provided, but issuer did not describe the result(s) of the mitigation activities.","Criterion 32b: Mitigation activities are provided, but issuer did not describe the result(s) of each of the mitigation activities on the problems meeting timeline(s) provided in Criterion 31b."]
[null,null,null,null,"Element 19: Provider “other” sub-type is checked, but description is not provided.",null,null,null,"Missing Information",null,"Criterion 23a: Issuer indicated in Criterion 28a that activities are modified, but modification is not reflected in Criterion 23a. ",null,null,null,null,"Element 24: Goal 1: Relationship of Goal 1 to the identified measure (s) is not clear.","Element 24: Goal 2: Relationship of Goal 2 to the identified measure (s) is not clear.","Missing Information","Criterion 24a: Measure 1a: Narrative description of the denominator is not provided.",null,null,"Criterion 24b: Measure 1a: Description of how the measure supports tracking of performance does not match measure listed in Criterion 24a.",null,null,null,null,"Criterion 24e: Measure 1a: It is unclear what the numerical value performance target represents (e.g., percentage, count, ratio, proportion).",null,"Missing Information","Criterion 24a: Measure 1b: Narrative description of the denominator is not provided.",null,null,null,"Criterion 24b: Measure 1b: Description of how the measure supports tracking of performance does not match measure listed in Criterion 24a.",null,null,null,"Criterion 24e: Measure 1b: It is unclear what the numerical value performance target represents (e.g., percentage, count, ratio, proportion).",null,"Missing Information","Criterion 24a: Measure 2a: Narrative description of the denominator is not provided.",null,null,null,"Criterion 24b: Measure 2a: Description of how the measure supports tracking of performance does not match measure listed in Criterion 24a.",null,null,null,"Criterion 24e: Measure 2a: It is unclear what the numerical value performance target represents (e.g., percentage, count, ratio, proportion).",null,"Missing Information","Criterion 24a: Measure 2b: Narrative description of the denominator is not provided.",null,null,null,"Criterion 24b: Measure 2b: Description of how the measure supports tracking of performance does not match measure listed in Criterion 24a.",null,null,null,"Criterion 24e: Measure 2b: It is unclear what the numerical value performance target represents (e.g., percentage, count, ratio, proportion).",null,null,null,null,null,null,null,"NA",null,null,null,null,"Criterion 28a: The rationale description is not clear about why the activities of the QIS (Element 23) are modified.","Criterion 28b: The rationale for modifications is not provided.","Criterion 28c: Issuer did not indicate the type of modifications made to Measure 2a of the QIS (Element 24), and did not check “Not Applicable.”","Element 29: Goal 1: Relationship of Goal 1 to the identified measure(s) is not clear.","Element 29: Goal 1: Relationship of Goal 1 to the selected topic area(s) (Element 20) is not clear.",null,"Missing Information","Missing Information","Missing Information","Missing Information","Missing Information",null,null,"Missing Information","Missing Information","Missing Information","Missing Information","Missing Information","Element 29: Goal 2: Relationship of Goal 2 to the selected topic area(s) is not clear.",null,"Missing Information","Missing Information","Missing Information","Missing Information","Missing Information",null,null,"Missing Information","Missing Information","Missing Information","Missing Information","Missing Information","Element 30: Modifications were checked in Criterion 28a but do not indicate whether the information provided here affects the decision to modify or change the QIS. ",null,"Missing Information",null,null,"Criterion 32a: Mitigation activities are not provided for each of the barriers identified. ","Missing Information"]
[null,null,null,null,"Element 19: Enrollee \"other\" sub-type is checked, but description is not provided.",null,null,null,null,null,null,null,null,null,null,"Element 24: Goal 1: Issuer indicated in Criterion 28b that the goal(s) was modified but neither goal in Element 24 reflects modification. ","Element 24: Goal 2: Issuer indicated in Criterion 28b that the goal(s) was modified, but neither goal in Element 24 reflects modification. ",null,"Criterion 24a: Measure 1a: Numerator and/or denominator does not align with Measure 1a name.",null,null,"Missing Information",null,null,null,null,null,null,null,"Criterion 24a: Measure 1b: Numerator and/or denominator does not align with Measure 1b name.",null,null,null,"Missing Information",null,null,null,null,null,null,"Criterion 24a: Measure 2a: Numerator and/or denominator does not align with Measure 2a name.",null,null,null,"Missing Information",null,null,null,null,null,null,"Criterion 24a: Measure 2b: Numerator and/or denominator does not align with Measure 2b name.",null,null,null,"Missing Information",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Criterion 28a: Issuer indicated that they made modications to activities in Criterion 23a, but selected \"Not Applicable\" in Criterion 28a.","Criterion 28b: The rationale description is not clear about why Goal 1 of the QIS (Element 18) was modified.","Criterion 28c: Issuer did not indicate the type of modifications made to Measure 2b of the QIS (Element 24), and did not check “Not Applicable.”","Missing information","Element 29: Goal 1: Relationship of Goal 1 to the identified measure(s) is not clear.",null,null,null,null,null,null,null,null,null,null,null,null,null,"Element 29: Goal 2: Relationship of Goal 2 to the identified measure(s) is not clear.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Criterion 32a: Mitigations activities are provided for each of the barriers identified but issuer did not describe all results for each of the mitigation activities."]
[null,null,null,null,"Missing Information",null,null,null,null,null,null,null,null,null,null,"Missing Information","Missing Information",null,"Criterion 24a: Measure 1a: Relationship of Measure 1a to Goal 1 is not clear.",null,null,null,null,null,null,null,null,null,null,"Criterion 24a: Measure 1b: Relationship of Measure 1b to Goal 1 is not clear.",null,null,null,null,null,null,null,null,null,null,"Criterion 24a: Measure 2a: Relationship of Measure 2a to Goal 2 is not clear.",null,null,null,null,null,null,null,null,null,null,"Criterion 24a: Measure 2b: Relationship of Measure 2b to Goal 2 is not clear.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Criterion 28b: The rationale description is not clear about why Goal 2 of the QIS (Element 18) was modified.","Criterion 28c: The rationale for modifications is not provided.","Element 29: Goal 2: Goal 2 does not match Implementation Plan.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Missing Information"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Missing Information",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Criterion 28c: The rationale description is not clear about why Measure 1a of the QIS (Element 24) was modified.","Element 29: Goal 2: Relationship of Goal 2 to the selected topic area(s) (Element 20) is not clear."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Criterion 28c: The rationale description is not clear about why Measure 1b of the QIS (Element 24) was modified.","Element 29: Goal 2: Relationship of Goal 2 to the identified measure(s) is not clear."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Criterion 28c: The rationale description is not clear about why Measure 2a of the QIS (Element 24) was modified.","Missing information"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Criterion 28c: The rationale description is not clear about why Measure 2b of the QIS (Element 24) was modified."]

{"sheet":"Errors","index":11,"n_rows":1,"n_cols":1,"rows_kept":1,"cut":false,"hidden":false,"merged":[]}
["The file PlansBenefits.xlsm is missing the worksheet 'Cost Share Variances 1' but has the corresponding Benefit Package 'Benefits Package 1'. Every Benefit Package should have a Cost Share Variances tab with matching number. Please go into this workbook and check the names of the worksheets. Data cannot be imported for this Benefit Package until this issue is resolved. Thank you."]