Plans and Benefits

All issuers are required to provide the following data on their health plans:
  • Plan identifiers
  • Plan attributes
  • URLs
  • Covered benefits and their limits
  • Cost-sharing information
Issuers enter this plan data (except for URLs, which are submitted through the SSM) in the Plans and Benefits Template, which consists of two worksheets: the benefits package worksheet and the cost share variances worksheet.

Issuers must also indicate essential health benefit (EHB) benchmark plan coverage requirements. To reflect these requirements, the Plans and Benefits Add-in file populates state- and market-specific EHB benchmark data in the benefits package worksheet.

Application Resources
Additional PY21 information coming soon!