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Agenda − Welcome & Introductions 5 min − 6/14 Meeting Review 5 min − Individual & Health Plan AG updates 10 min − Policies
- Standard Comparative Plan Information
20 min
- Employer & Employee Choice Architecture
SHOP Advisory Group June 21, 2012 Agenda Welcome & - - PowerPoint PPT Presentation
SHOP Advisory Group June 21, 2012 Agenda Welcome & - - PowerPoint PPT Presentation
SHOP Advisory Group June 21, 2012 Agenda Welcome & Introductions 5 min 6/14 Meeting Review 5 min Individual & Health Plan AG updates 10 min Policies Standard Comparative Plan Information 20 min Employer &
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Topic Summary & Board Target Decision Dates
Standard Comparative Plan Information 6/25 Employer & Employee Choice Architecture 7/9 Broker Relationship & Compensation 7/23 Customer Service Center 8/27 Consumer & Employer Rights & Responsibilities 8/27 Single Streamlined Application TBD Certification of Health Issuers & QHPs TBD
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SHOP Policy & Process Topics Topic – Standard Comparative Plan Information Essential Question: What is the appropriate information to be displayed to consumers when they are shopping for and comparing qualified health plans? Target Decision Date – June 25, 2012
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Standard Comparative Plan
− Tier identification (Platinum, Gold, etc) − Enrollee satisfaction survey results − Medical Loss Ratio (MLR) information − Transparency of Coverage Measures Federal Minimum
- Premium & Cost Sharing
- Quality Ratings
- Provider Directory
- Summary of Benefits &
Coverage Other Information
- Deductible
- Co-insurance
- Actuarial Value
- Plan type – HMO, PPO, etc.
- Other benefits
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SHOP Policy & Process Topics Topic Employer & Employee Choice Architecture Essential Question: What is the proper balance between employer/ employee choice and financial viability of plan
- fferings on the SHOP exchange? Should the
exchange specify minimum participation and contribution rates? Target Decision Date – July 9, 2012
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