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Goal of the Portal

“Establish immediately a mechanism, including an internet website, through which a resident of, or small business in, any State may identify affordable health insurance coverage options in that State”. Goal of the Portal.

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Goal of the Portal

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  1. “Establish immediately a mechanism, including an internet website, through which a resident of, or small business in, any State may identify affordable health insurance coverage options in that State” Goal of the Portal

  2. The Patient Protection and Affordable Care Act (P.L. 111-148), (Affordable Care Act) enacted on March 23, 2010. Section 1103(a), as amended by section 10102(b) Health Care Reform Insurance Web Portal Requirements, 45 CFR Part 159, 75 FR 24470 Statutory Basis

  3. Discuss what we are collecting for the October release Product Refresh Portal Plan information Provide Technical Training on Data Entry for Portal Plans Answer questions, and prepare for future training Today’s Training

  4. For July you submitted product information - Individual and small group major medical New administrative fields Number applications Number denials Number of up-ratings SERFF Number Product Refresh:

  5. ACA Implementation • New rules go into effect with a significant shift in blocks • We are going to release guidance on how best to handle • Consider that you may want to enter Products that will be effective in October next week

  6. Portal plans: the combination of benefits and cost sharing before premium calculation which would constitute a contract Open blocks Linked to reported products Not Associations Individual and small group 1% of Corporate enrollment for market in that zipcode Portal Plan Requirement:

  7. Elements Requested • Corporate information appropriate for consumers • Tracking info (NAIC, SERFF / HIOS IDs) • Geographic coverage: state, county, zip codes • Standard benefits / Cost sharing • Rating Information (Indiv. / Small Group) • Enrollment, to get at the 1% rule (may be used in sorting)

  8. Training: Today, August 13, 2010 Help Desk Opens: Aug. 16 Deadline for Submissions: Sept. 3 Release: Oct. 1 Dates

  9. If you need additional assistance, please call the HIOS Help Desk at 1-877-343-6507 or email them at insuranceoversight@hhs.gov. CMP Help for Portal Plan entry Monday: 1-877-425-3708 cmp-support@ehealth.com.  Support

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