State Mandated Benefits
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Directs health carriers offering plans in the Arkansas Health Insurance Marketplace to file plans that include only essential health benefits (EHB) and specifies that plans including all state-mandated benefits be sold off-Exchange; describes CMS proposed rule implications and state statutory authority. Affects licensed healthcare insurers covering primary care benefits in Arkansas.
No material clinical or coverage changes in this revision.
Exchange Filing Coverage Criteria
Exchange filing and off-Exchange sale criteria
Filing and sale criteria for individual qualified health plans:
Benefit Classification and State-Action Cutoff
| No codes listed |
Filing Requirements and Carrier Actions
File EHB‑only plans for the Exchange; sell full state‑mandated plans off‑Exchange
Health carriers planning to participate in the Arkansas Health Insurance Marketplace must file plans that include only essential health benefits (EHB) as defined by ACA §1302(b) and benefits required by state action on or before December 31, 2011; plans that include all state‑mandated benefits must be filed for sale exclusively in the off‑Exchange market.
- EHB-only Exchange filings must include the notice required by Ark. Code Ann. § 23-79-803(c).
Key Definitions
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