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<li class="menu-item menu-item--l3">
<a href="/medicare/health-safety-standards/quality-safety-oversight-group-qsog" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085911">Quality, Safety &amp; Oversight Group (QSOG)</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-safety-standards/quality-safety-oversight-general-information" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169631">Quality, safety &amp; oversight general information</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/health-safety-standards/accreditation-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171481">Accreditation programs</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-safety-standards/quality-safety-oversight-emergency-preparedness" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172346">Emergency preparedness</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-safety-standards/certification-compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171241">Certification &amp; compliance</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-safety-standards/enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169811">Enforcement</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-safety-standards/guidance-for-laws-regulations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170071">Regulations, Certification, &amp; Compliance</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-safety-standards/conditions-coverage-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172616">Conditions for coverage &amp; participation</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Employers &amp; plan sponsors</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/employers-plan-sponsors/creditable-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171701">Creditable coverage</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2">
<span class="menu-item-element" aria-current="false">IC-Placeholder-1</span>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Audits &amp; Compliance</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/audits-compliance/part-a-cost-report" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185256">Part A cost report audit</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/audits-compliance/part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175921">Part C/Part D compliance &amp; audits</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Forms &amp; notices</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/medicare/forms-notices/cms-forms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170166">CMS forms</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/forms-notices/cms-forms-list" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174306">CMS forms list</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/forms-notices/beneficiary-notices-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170686">Beneficiary Notices Initiative (BNI)</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Health &amp; drug plans</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-drug-plans/plan-payment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171981">Plan payment</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/health-drug-plans/plan-payment-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175081">Plan payment data</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/health-drug-plans/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180161">Medical loss ratio</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/health-drug-plans/coverage-gap-discount-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175906">Coverage Gap Discount Program</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-drug-plans/managed-care-marketing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170611">Managed care marketing</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/health-drug-plans/medicare-advantage-application" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170651">Medicare Advantage application</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-drug-plans/medigap" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170466">Medigap (Medicare supplement health insurance)</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/health-drug-plans/medical-savings-account" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172066">Medical Savings Account (MSA)</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/health-drug-plans/private-fee-for-service-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170301">Private Fee-for-Service Plans</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/enrollment-renewal/health-plans/prepayment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170521">Health Care Prepayment Plans (HCPPs)</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/enrollment-renewal/health-plans/cost" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170656">Cost plans</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/enrollment-renewal/special-needs-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171676">Special needs plans</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/health-drug-plans/network-adequacy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171301">Network adequacy</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Coordination of benefits &amp; recovery</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177001">Overview</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176856">Mandatory Insurer Reporting for Group Health Plans (GHP)</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176951">Mandatory insurer reporting (NGHP)</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/workers-comp-set-aside-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176641">Workers&#039; comp Medicare set aside arrangements</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/attorney-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177026">Attorney services</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/beneficiary-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177036">Beneficiary services</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/coba-trading-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176761">COBA Trading Partners</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/employer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170361">Employer services</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/insurer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170846">Insurer services</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/prescription-drug-assistance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176791">Prescription drug assistance programs</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicare/coordination-benefits-recovery/provider-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170406">Provider services</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Settlements</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/medicare/settlements/jimmo" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193381">Jimmo Settlement</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicare/settlements/ryan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193486">Ryan Settlement</a>
</li>
</ul>
</div>
</div>
</li>
</ul>
</div>
</li>
<li class="menu-item menu-item--l1 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Medicaid/CHIP</span>
<div class="subnav-wrapper--1 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
</div>
<ul class="menu">
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">What is Medicaid?</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="https://www.medicaid.gov" class="menu-item-element" aria-current="false">Visit Medicaid.gov</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.medicaid.gov/about-us/beneficiary-resources/index.html#statemenu" class="menu-item-element" aria-current="false">View Medicaid maps</a>
</li>
<li class="menu-item menu-item--l3">
<a href="http://www.medicaid.gov/chip/index.html" class="menu-item-element" aria-current="false">Visit CHIP.gov</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Medicare-Medicaid Coordination</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/medicaid-chip/medicare-coordination/integrated-care-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174926">Integrated care resources</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/medicaid-chip/medicare-coordination/integrity-institute" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1315141">Medicaid Integrity Institute</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2">
<span class="menu-item-element" aria-current="false">RG-Placeholder-1</span>
</li>
<li class="menu-item menu-item--l2">
<span class="menu-item-element" aria-current="false">IC-Placeholder-2</span>
</li>
</ul>
</div>
</li>
<li class="menu-item menu-item--l1 menu-item--expanded menu-item--active-trail">
<span class="menu-item-element" aria-current="false">Marketplace &amp; Private Insurance</span>
<div class="subnav-wrapper--1 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
</div>
<ul class="menu">
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">About the Marketplace</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/about/oversight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191061">Marketplace oversight</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/about/affordable-care-act" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191416">Affordable Care Act</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/about/overview-exchanges" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190921">Overview of the exchanges</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/about/exchange-coverage-maps" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193086">Exchange coverage maps</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/about/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/179351">Medicare and the Marketplace</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Private Health Insurance</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/patient-bill-of-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192591">Patients Bill of Rights</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190956">Medical loss ratio</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/annual-limits" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191976">Annual limits</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/review-insurance-rates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192716">Review of insurance rates</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/market-rating-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191816">Market rating</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/self-funded-non-federal-governmental-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191111">Self-funded, non-federal governmental plans</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/grandfathered-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191456">Grandfathered plans</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/health-reimbursement-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193216">Health Reimbursement Arrangements</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/coverage-young-adults" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190931">Coverage for young adults</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/student-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190946">Student health plans</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/mental-health-parity-addiction-equity" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192601">Mental health parity and addiction equity</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/prevention" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191071">Prevention</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/consumer-protections-enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192701">Consumer protections &amp; enforcement</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/private-health-insurance/pre-existing-condition-plan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191056">Pre-existing condition insurance plan</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.healthcare.gov/glossary/qualifying-health-coverage" class="menu-item-element" aria-current="false">Qualifying Health Coverage (QHC)</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2">
<span class="menu-item-element" aria-current="false">RG-Placeholder-2</span>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">In-person assisters</span>
<div class="subnav-wrapper--2 ds-u-display--none">
<div class="subnav-header">
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<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/marketplace/in-person-assisters/information-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2078851">Information for Partners</a>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/in-person-assisters/outreach-education" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073436">Assister outreach &amp; education</a>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/in-person-assisters/applications-forms-notices" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073441">Applications, forms, &amp; notices</a>
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<a href="/marketplace/in-person-assisters/programs-procedures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073446">Assister programs &amp; procedures</a>
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<a href="/marketplace/in-person-assisters/technical-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073231">Assister technical resources</a>
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<a href="/marketplace/in-person-assisters/training-webinars" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073451">Assister training &amp; webinars</a>
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<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Agents &amp; Brokers</span>
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<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/marketplace/agents-brokers/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192876">Resources for Agent &amp; Brokers</a>
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<a href="/marketplace/agents-brokers/registration-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1290426">Registration &amp; training</a>
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<li class="menu-item menu-item--l3">
<a href="/marketplace/agents-brokers/open-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193226">Open enrollment</a>
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<a href="/marketplace/agents-brokers/direct-enrollment-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1550226">Direct enrollment partners</a>
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<a href="/marketplace/agents-brokers/general-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185021">General resources</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.youtube.com/playlist?list=PLaV7m2-zFKpgUK9AqdbnOdW69-WwodvRj" class="menu-item-element" aria-current="false">Video Learning Center</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.agentbrokerfaq.cms.gov/s/" class="menu-item-element" aria-current="false">Agent &amp; Broker FAQ</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/files/document/agent/broker-help-desks.pdf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="media/112386">Marketplace help desk &amp; call centers</a>
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<li class="menu-item menu-item--l3">
<a href="https://data.healthcare.gov/ffm_ab_registration_lists" class="menu-item-element" aria-current="false">Registration Completion List</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://data.healthcare.gov/ab-registration-tracker/" class="menu-item-element" aria-current="false">Marketplace Registration Tracker</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://data.healthcare.gov/ab-suspension-and-termination-list" class="menu-item-element" aria-current="false">AB Suspension &amp; Termination List</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://localhelp.healthcare.gov/" class="menu-item-element" aria-current="false">Find local help</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://data.healthcare.gov/issuer-partner-lookup" class="menu-item-element" aria-current="false">Issuer and direct enrollment partner directory</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/agents-brokers/help-on-demand" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193196">Help on demand</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/agents-brokers/shop-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193096">SHOP Resources</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Health Plans &amp; Issuers</span>
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<div class="subnav-header">
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</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/marketplace/health-plans-issuers/qualified-health-plan-certification" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191371">Qualified health plan certification </a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/health-plans-issuers/summary-benefits-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191461">Summary of benefits &amp; coverage</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/health-plans-issuers/insurance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192101">Insurance programs</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/health-plans-issuers/premium-stabilization-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191326">Premium stabilization programs</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/health-plans-issuers/insurance-market-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191421">Health insurance market reforms</a>
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<li class="menu-item menu-item--l3">
<a href="/marketplace/health-plans-issuers/minimum-essential-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192891">Minimum essential coverage</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace-private-insurance/health-plans-issuers/pbm-drug-pricing-review" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2088761">Drug pricing &amp; rebate review</a>
</li>
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</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Employers &amp; sponsors</span>
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<div class="subnav-header">
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</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="https://www.healthcare.gov/small-businesses/other-coverage" class="menu-item-element" aria-current="false">Coverage</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/shop-marketplace-overview" class="menu-item-element" aria-current="false">Regulation &amp; guidance</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/qualify-for-shop-marketplace" class="menu-item-element" aria-current="false">Small business tax credit &amp; premium assistance</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/appeal-a-shop-decision" class="menu-item-element" aria-current="false">Appeals</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/employers-sponsors/small-business-health-options-program-shop" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192901">Small Business Health Options Program (SHOP)</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/employers-sponsors/early-retiree-reinsurance-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191651">Early retiree reinsurance program</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/employer-initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192916">Employer initiatives</a>
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</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">States</span>
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<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/marketplace/states/state-marketplace-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190916">Planning &amp; establishing a Marketplace</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/states/territory-cooperative-agreements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190926">Territory cooperative agreements</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/states/early-innovator-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191691">Early innovator program</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/states/state-flexibility-stabilize-market" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193246">State flexibility to stabilize the Market </a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/states/creating-competitive-marketplace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192231">Exchange establishment grants</a>
</li>
<li class="menu-item menu-item--l3">
<a href="https://www.healthcare.gov/coverage/pre-existing-conditions" class="menu-item-element" aria-current="false">Pre-existing condition insurance plan</a>
</li>
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</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded menu-item--active-trail">
<span class="menu-item-element" aria-current="false">Resources</span>
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<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/marketplace/resources/about-us" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192721">About Us</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/marketplace/resources/data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191741">Data resources</a>
</li>
<li class="menu-item menu-item--l3 menu-item--active-trail">
<a href="/marketplace/resources/letters" class="menu-item-element active-page is-active" aria-current="page" data-drupal-link-system-path="node/191646">Letters</a>
<li class="menu-item menu-item--l3">
<a href="/marketplace/resources/regulations-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191366">Regulations &amp; Guidance</a>
</li>
<li class="menu-item menu-item--l3">
<a href="/marketplace/resources/training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191466">Training resources</a>
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<li class="menu-item menu-item--l3">
<a href="/marketplace-private-insurance/resources/marketplace-coverage-transitions" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2100621">Marketplace Coverage Transitions</a>
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</div>
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</li>
<li class="menu-item menu-item--l1 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Initiatives</span>
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<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
</div>
<ul class="menu">
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Burden Reduction</span>
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<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/key-initiatives/burden-reduction" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085596">Overview</a>
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<span class="menu-item-element" aria-current="false">E-health</span>
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<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/key-initiatives/e-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171276">Overview</a>
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</div>
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<span class="menu-item-element" aria-current="false">Flu</span>
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</div>
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<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/priorities/key-initiativess/flu" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1399001">Overview</a>
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<span class="menu-item-element" aria-current="false">Health Equity</span>
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</div>
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<ul class="menu">
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/health-equity/c2c" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1974361">Coverage to Care</a>
</li>
<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/health-equity/minority-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620916">Minority health</a>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/health-equity/c2c/es" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072591">Cobertura de atención</a>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/health-equity/grants-awards" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612961">Grants &amp; awards</a>
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<span class="menu-item-element" aria-current="false">Healthplan price transparency</span>
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</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/priorities/key-initiatives/healthplan-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1567426">Overview</a>
</li>
</ul>
</div>
</div>
</li>
<li class="menu-item menu-item--l2 menu-item--expanded">
<span class="menu-item-element" aria-current="false">Hospital price transparency</span>
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</div>
<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/priorities/key-initiatives/hospital-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1417856">Overview</a>
</li>
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</div>
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<span class="menu-item-element" aria-current="false">Innovation Center</span>
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<div class="menu-wrapper">
<ul class="menu">
<li class="menu-item menu-item--l3">
<a href="/priorities/innovation/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2090631">Overview</a>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/innovation/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2074091">About</a>
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<a href="/priorities/innovation/key-concepts" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072461">Key Concepts</a>
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<a href="/priorities/innovation-center/model-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2087691">Model Data</a>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
<a href="/priorities/innovation-center/value-based-care-spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2082926">Value-Based Care Spotlight</a>
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<a href="/priorities/innovation/models" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072436">Innovation Models</a>
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<li class="menu-item menu-item--l3">
<a href="/priorities/innovation/where-innovation-happening" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072451">Where Innovation is Happening</a>
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<a href="/priorities/innovation/evaluation-research-reports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072446">Evaluations &amp; Research Reports</a>
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</div>
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<span class="menu-item-element" aria-current="false">Lookup tools</span>
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<h1 class="ds-u-visibility--screen-reader page-title"><span class="field field--name-title field--type-string field--label-visually_hidden">Letters
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<span class="field field--name-title field--type-string field--label-visually_hidden alternate-page-title ds-u-margin-bottom--0 ds-u-font-size--3xl ds-u-font-weight--semibold">Letters</span>
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<ul>
<li><a href="#Consumer_Support_and_Information">Consumer Support and Information</a>
<ul>
<li><a href="#Consumer_Assistance_Program_Grants">Consumer Assistance Program Grants</a></li>
<li><a href="#External_Appeals">External Appeals</a></li>
<li><a href="#Summary_of_Benefits_and_Coverage_and_Uniform_Glossary">Summary of Benefits and Coverage and Uniform Glossary</a></li>
</ul>
</li>
<li><a href="#Content_Requirements_for_Plan_Finder">Content Requirements for Plan Finder</a></li>
<li><a href="#Pre-Existing%20Condition%20Insurance%20Plan%20(PCIP)">Pre-Existing Condition Insurance Plan (PCIP)</a></li>
<li><a href="#Health_Insurance_Marketplaces">Health Insurance Marketplaces</a>&nbsp;
<ul>
<li><a href="#Planning_and_Establishment_Grants">Planning and Establishment Grants</a> &nbsp;&nbsp;</li>
<li><a href="#Early_Innovator_Grants">Early Innovator Grants</a></li>
<li><a href="#Information_Technology_Systems">Information Technology Systems</a></li>
</ul>
</li>
<li><a href="#State_Innovations">State Innovations</a></li>
<li><a href="#Health_Market_Reforms">Health Insurance Market Reforms</a>
<ul>
<li><a href="#Annual_Limits">Annual Limits</a>&nbsp;</li>
<li><a href="#Coverage_for_Young_Adults">Coverage for Young Adults</a></li>
<li><a href="#Grandfathered_Plans">Grandfathered Plans</a></li>
<li><a href="#Medical_Loss_Ratio">Medical Loss Ratio</a></li>
<li><a href="#Review_of_Insurance_Rates">Review of Insurance Rates</a></li>
<li><a href="#Student_Health_Plans">Student Health Plans</a></li>
<li><a href="#Non-Federal_Governmental_Plans">Non-Federal Governmental Plans</a></li>
</ul>
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<p>&nbsp;</p>
<h2><a id="Consumer_Support_and_Information"></a>Consumer Support and Information</h2>
<p>&nbsp;</p>
<h2><a id="Consumer_Assistance_Program_Grants"></a>Consumer Assistance Program Grants&nbsp;</h2>
<h3>News Releases</h3>
<ul>
<li>July 22, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160647/http://www.hhs.gov/news/press/2010pres/07/20100722a.html" target="T163613" title="Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care - Opens in a new window">Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>October 19, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="http://www.hhs.gov/news/" target="T163615" title="New Affordable Care Act Rules Help Consumers Better Understand and Compare Benefits and Coverage - Opens in a new window">New Affordable Care Act Rules Help Consumers Better Understand and Compare Benefits and Coverage<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h2><strong><a id="External_Appeals"></a>External Appeals</strong><a id="External_Appeals"></a>&nbsp;</h2>
<h3>News Releases</h3>
<ul>
<li>July 22, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160647/http://www.hhs.gov/news/press/2010pres/07/20100722a.html" target="T163613" title="Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care - Opens in a new window">Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h2><a id="Summary_of_Benefits_and_Coverage_and_Uniform_Glossary"></a>Summary of Benefits and Coverage and Uniform Glossary</h2>
<h3>News Releases</h3>
<ul>
<li>August 17, 2011<br>
<a href="http://www.hhs.gov/news/">New Affordable Care Act Rules Help Consumers Better Understand and Compare Benefits and Coverage</a></li>
</ul>
<p>&nbsp;</p>
<h2><strong><a id="Content_Requirements_for_Plan_Finder"></a>Content Requirements for Plan Finder</strong></h2>
<h3>Letters</h3>
<ul>
<li>May 3, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="900d643a-591a-47fa-a3b0-1b89189cc9f7" href="/cciio/resources/files/user_access_and_auth" title="User Access and Authorization for the Health Insurance Oversight System">HHS Letter to Issuers of Private Individual and Small Group Market Insurance Regarding User Access and Authorization for the Health Insurance Oversight System</a></li>
<li>May 6, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="2c397b3f-10ba-4a75-9fb4-c8a30be324d3" href="/cciio/resources/files/downloads/statetemplate_memo_05062010.pdf" title="statetemplate_memo_05062010">HHS Letter to States Regarding State Data Submission for the Health Insurance Oversight System (PDF 110 KB) (PDF)</a></li>
<li>July 9, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="0276c1bd-2d46-4f0f-b723-fe5464992d13" href="/cciio/resources/files/downloads/letter_issuer07092010.pdf" title="letter_issuer07092010">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 145 KB) (PDF)</a></li>
<li>August 10, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="4fc4ef20-b01c-4412-9c35-be30f1a181f7" href="/cciio/resources/files/downloads/issuermemo_monthlyupdate_augustwindow_08092010_final.pdf" title="issuermemo_monthlyupdate_augustwindow_08092010_final">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 53 KB) (PDF)</a></li>
<li>August 20, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="1d704731-ee18-48ba-842d-0b1a66313972" href="/cciio/resources/files/downloads/082010_hios_directions_for_oct_products.pdf" title="082010_HIOS_Directions_For_Oct_Products">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 149 KB) (PDF)</a></li>
<li>August 31, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="0326be03-a0cd-49d7-943f-8f18a09a2ab5" href="/cciio/resources/files/downloads/083110webportalrequpdateguidance.pdf" title="083110WebPortalReqUpdateguidance">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 36 KB) (PDF)</a></li>
<li>September 2, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="f803287f-e33d-4165-90f3-93c4d733edaf" href="/cciio/resources/files/downloads/issuermemo09022010.pdf" title="issuermemo09022010">HHS/OCIIO Letter to Issuers Regarding Monthly Updates I (PDF 62 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="64d81436-8940-4819-81e3-09a2e2693862" href="/cciio/resources/files/downloads/reg_cmp_pl_info_sep3.pdf" title="reg_cmp_pl_info_sep3">HHS/OCIIO Letter to Issuers Regarding Monthly Updates II (PDF 30 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="ae7a0b7e-7b71-4993-847c-1bd9af92719f" href="/cciio/resources/files/downloads/090210issuerswhohavenotyetregisteredwithcmptd.pdf" title="090210IssuersWhoHaveNotYetRegisteredWithCMPtd">HHS/OCIIO Letter to Issuers Regarding Monthly Updates III (PDF 32 KB) (PDF)</a></li>
<li>September 8, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="38adb957-7c85-44c7-aa71-63c73320c4f0" href="/cciio/resources/files/downloads/sept10subrequire.pdf" title="sept10subrequire">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 30 KB) (PDF)</a></li>
<li>September 13, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="0da91df0-31cc-4369-a83a-fcaa3c812702" href="/cciio/resources/files/downloads/guidelines_dataerrors_cmp.pdf" title="guidelines_dataerrors_cmp">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 204 KB) (PDF)</a></li>
<li>September 14, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="f5455fc6-9d29-4176-a1a7-830380473d0c" href="/cciio/resources/files/downloads/attestationrequirement.pdf" title="attestationrequirement">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 31 KB) (PDF)</a></li>
<li>September 15, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="7493ffc0-e823-40e7-ade5-775e80721c9f" href="/cciio/resources/files/downloads/091510attestationforoctoberwebportal.pdf" title="091510AttestationForOctoberWebPortal">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 75 KB) (PDF)</a></li>
<li>September 16, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="87f5bf18-f37e-4e09-b94b-8d33c339f146" href="/cciio/resources/files/downloads/091610ceocfoattestationfortransferredissuers.pdf" title="091610CEOCFOAttestationForTransferredIssuers">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 42 KB) (PDF)</a></li>
<li>September 22, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="a0672d77-2967-4506-afef-f0dc48b8f5cd" href="/cciio/resources/files/downloads/notice_revised.pdf" title="notice_revised">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 30 KB) (PDF)</a></li>
<li>September 23, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="40a7678e-0a1d-40b5-9ff7-9854c2ce2d4e" href="/cciio/resources/files/downloads/092310ceocfoattestationclarification.pdf" title="092310CEOCFOAttestationClarification">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 33 KB) (PDF)</a></li>
<li>September 24, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="01643080-022d-4fc9-ac8e-60acd01c4288" href="/cciio/resources/files/downloads/092410_denial_uprate_memo.pdf" title="092410_denial_uprate_memo">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 95 KB) (PDF)</a></li>
<li>September 30, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="bb59871b-cc68-417e-be37-7ca4d55c6eda" href="/cciio/resources/files/downloads/093010_ociio_memo_november_2010_web_portal_refresh.pdf" title="093010_ociio_memo_november_2010_web_portal_refresh">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 58 KB) (PDF)</a></li>
<li>October 28, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="dbed47f7-d8f1-44e4-acb1-5a4ae2a89e1b" href="/cciio/resources/files/downloads/letter_issuer-10282010.pdf" title="letter_issuer-10282010">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 266 KB) (PDF)</a></li>
<li>November 30, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="2d116405-40a8-4e5b-9943-dedabd74c80f" href="/cciio/resources/files/downloads/ociio_webportal_113010_instructionsforspecificfieldsinhioscmpfinal.pdf" title="OCIIO_WebPortal_113010_InstructionsForSpecificFieldsinHIOSCMPFinal">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 122 KB) (PDF)</a></li>
<li>December 10, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="4d03fc72-66fd-4f23-b218-bd75107082f1" href="/cciio/resources/files/downloads/plan_finder_reminder.pdf" title="plan_finder_reminder">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 80 KB) (PDF)</a></li>
<li>December 22, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="502fed77-f035-4e1a-a2d2-60f851ac7e67" href="/cciio/resources/files/downloads/10252010_poor_provider_network_links.pdf" title="10252010_poor_provider_network_links">HHS Letter to Issuers of Health Insurance Regarding Provider Network Links (PDF 32 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="00e82598-4cf6-4d45-9052-1a1649b384ab" href="/cciio/resources/files/downloads/122210_letter_regarding_brochure_links.pdf" title="122210_letter_regarding_brochure_links">HHS Letter to Issuers of Health Insurance Regarding Brochure Links (PDF 32 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="31ae25e5-41ca-4d73-a3e7-60373127713e" href="/cciio/resources/files/downloads/122210_letter_regarding_formulary_links.pdf" title="122210_letter_regarding_formulary_links">HHS Letter to Issuers of Health Insurance Regarding Formulary Links (PDF 32 KB) (PDF)</a></li>
<li>January 12, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="a5b515a4-35fe-4612-94dd-8df0ae0c4dd1" href="/cciio/resources/files/downloads/ociio_plan_finder_march_update.pdf" title="ociio_plan_finder_march_update">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 198 KB) (PDF)</a></li>
<li>January 19, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="f6a4aa4e-4c3c-41b5-9586-e48bad41e56f" href="/cciio/resources/files/downloads/ociio_planfinder_2010_0119_template_updates_march.pdf" title="ociio_planfinder_2010_0119_template_updates_march">HHS/OCIIO Letter to Issuers Regarding Monthly Updates (PDF 147 KB) (PDF)</a></li>
<li>February 15, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="a5ac4887-729f-4fb0-abcc-13add54ac182" href="/cciio/resources/files/downloads/02152011_poor_provider_network_links.pdf" title="HHS Letter to Issuers of Health Insurance Regarding Provider Network Links">HHS Letter to Issuers of Health Insurance Regarding Provider Network Links (PDF 129 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="7d144df4-6b19-439c-9a43-4043ea790069" href="/cciio/resources/files/downloads/02152011_poor_provider_brochure_links.pdf" title="02152011_poor_provider_brochure_links">HHS Letter to Issuers of Health Insurance Regarding Brochure Links (PDF 130 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="b7f1b2bf-3553-459a-88a9-4734152dea16" href="/cciio/resources/files/downloads/02152011_poor_provider_formulary_links.pdf" title="02152011_poor_provider_formulary_links">HHS Letter to Issuers of Health Insurance Regarding Formulary Links (PDF 129 KB) (PDF)</a></li>
<li>April 12, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_planfinder_2011_june_refresh_memo.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF 230 KB) (PDF)</a></li>
<li>May 2, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="36823ec2-422e-4080-bc40-3dd60099fd72" href="/cciio/resources/files/downloads/planfinder_templates_available_05022011.pdf" title="planfinder_templates_available_05022011">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF 65 KB) (PDF)</a></li>
<li>June 2, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/source_data_06022011.pdf">Pre-disclosure Notification: FOIA Request for Source Data - http://finder.healthcare.gov - Memo (PDF 99 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="42c6ea34-4bad-428e-b069-c31a2328c88d" href="/cciio/resources/files/downloads/urban_institute_blavin_fredric_04182011.pdf" title="urban_institute_blavin_fredric_04182011">Attachment 1 (PDF 141 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="57bb7ac9-6f42-4ad2-a69a-acb23356785a" href="/cciio/resources/files/downloads/kaiser_family_foundation_damico_04252011.pdf" title="kaiser_family_foundation_damico_04252011">Attachment 2 (PDF 157 KB) (PDF)</a></li>
<li>June 9, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="7c283fc7-de40-4a23-8f93-84d5fbd87c06" href="/cciio/resources/files/downloads/reminder_to_approve_plans.pdf" title="reminder_to_approve_plans">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF 39 KB) (PDF)</a></li>
<li>July 13, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="aea9b04e-ec81-4c4c-a5e2-e86d3ba04df5" href="/cciio/resources/files/downloads/web_stats_07132011.pdf" title="web_stats_07132011">HHS/CCIIO Letter to Issuers Regarding Web Statistics (PDF 41 KB) (PDF)</a></li>
<li>July 26, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="5ebbe377-8691-4bce-a55c-1c1f5abc887d" href="/cciio/resources/files/downloads/sept_refresh_memo.pdf" title="sept_refresh_memo">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF 65 KB) (PDF)</a></li>
<li>August 11, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_plan_finder_grandfather_plans_memo081111.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 40 KB) (PDF)</a></li>
<li>August 18, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_plan_finder_small_group_submission_memo081811.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB) (PDF)</a></li>
<li>August 31, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_planfinder_reminder_to_approve_plans_in_cmp_for_september_refresh.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB) (PDF)</a></li>
<li>September 16, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_planfinder_entering_november_small_group_data.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 86 KB) (PDF)</a></li>
<li>September 27, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_plan_finder_association_memo.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 65 KB) (PDF)</a></li>
<li>September 30, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_plan_finder_hios_guidance_09302011.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 51 KB) (PDF)</a></li>
<li>October 12, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_pf_guidance_for_data_submissions_10122011.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 57 KB) (PDF)</a></li>
<li>October 17, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_plan_finder_issuer_guidance_on_rbisf_fix.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF - 39 KB) (PDF)</a></li>
<li>November 21, 2011<br>
<a href="/CCIIO/Resources/Files/Downloads/CCIIO_PlanFinder_2012_January_Refresh_Memo_508.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates &nbsp;(PDF 178 KB) (PDF)</a></li>
<li>January 6, 2012<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_planfinder_010312_entering_0312sg_508.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF 202 KB) (PDF)</a></li>
<li>Feb 27, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="5737973d-c8cf-40f3-82e9-6ece1187271c" href="/cciio/resources/files/downloads/ifp-template-change-memo-2-27-12.pdf" title="ifp-template-change-memo-2-27-12">Individual/Family Market RBIS Template Changes (PDF 62 KB) (PDF)</a></li>
<li>March 1, 2012<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio-planfinder-2012-april-refresh.pdf">HHS/CCIIO Letter to Issuers Regarding Monthly Updates (PDF 63 KB) (PDF)</a></li>
<li>April 2, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="91e80cf5-8275-4fd7-83a1-c96f6e73fc95" href="/cciio/resources/files/downloads/changes-rbis-hios-data-collection-windows.pdf" title="changes-rbis-hios-data-collection-windows">Changes to HIOS/RBIS Data Collection Windows (PDF 40 KB) (PDF)</a></li>
<li>April 20, 2012<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio-plan-finder-hios-small-group-open-window-42012.pdf">HIOS Small Group Open Window (PDF 45 KB) (PDF)</a></li>
<li>May 22, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="9500cc5e-a9e7-4226-8ed0-cadbc8819c3d" href="/cciio/resources/files/downloads/new-submission-guidance-5-22-12.pdf" title="new-submission-guidance-5-22-12">Changes to June 11, 2012 Collection Window; Training Postponed (PDF 51 KB) (PDF)</a></li>
<li>June 15, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="25aeb279-11d1-43a8-863f-46c5d1c5631c" href="/cciio/resources/files/downloads/csg-rbis-combined-window-training-6-15-12.pdf" title="csg-rbis-combined-window-training-6-15-12">RBIS Training on Combined Window (PDF 45 KB) (PDF)</a></li>
<li>June 26, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="4071ea4c-b950-46fe-9b9d-1881d00b7e16" href="/cciio/resources/files/downloads/data-team-sbc-links-memo.pdf" title="data-team-sbc-links-memo">Summary of Benefits and Coverage Links (PDF 35 KB) (PDF)</a></li>
<li>June 27, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="5a6142ff-cdb3-4a53-a7b5-fa26a13b79c9" href="/cciio/resources/files/downloads/hios_optional_ifp_window_july_2012.pdf" title="hios_optional_ifp_window_july_2012">Optional IFP Submission Window (PDF 32 KB) (PDF)</a></li>
<li>July 19, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="43ddd905-5881-499a-9cc0-10a97dd46655" href="/cciio/resources/files/downloads/hios_august_2012_ifp_rbis_window.pdf" title="hios_august_2012_ifp_rbis_window">Individual/Family Market RBIS Open Window Dates (PDF 51 KB) (PDF)</a></li>
<li>August 20, 2012<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio-planfinder-august-2012-combined-window-memo.pdf">August 27 Combined HIOB/RBIS Window (PDF 46 KB) (PDF)</a></li>
<li>September 28, 2012<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_plan_finder09282012_sbc_removal_from_website.pdf">Summary of Benefits and Coverage (SBCs) Without Coverage Example Data (PDF - 118 KB) (PDF)</a></li>
<li>December 19, 2012<br>
<a href="/CCIIO/Resources/Files/Downloads/cciio_plan_finder12192012_2013_calendar_and_plan_drop_off.pdf">Rate/Plan Expiration and 2013 Combined Window Schedule (PDF - 80 KB) (PDF)</a></li>
</ul>
<p><em>Persons using assistive technology may not be able to fully access information in this file. For assistance, please email <a href="mailto:HealthInsurance@hhs.gov">HealthInsurance@hhs.gov</a>.</em></p>
<h2><a id="Pre-Existing Condition Insurance Plan (PCIP)"></a>Pre-Existing Condition Insurance Plan (PCIP)</h2>
<h3>Letters</h3>
<ul>
<li>May 10, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="8ceb6064-eb1a-466c-b70b-8361af765734" href="/cciio/resources/files/downloads/state_cover.pdf" title="state_cover">Cover letter on State High-Risk Pool program (PDF 24KB) (PDF)</a></li>
</ul>
<h2><a id="Health_Insurance_Marketplaces"></a>Health Insurance Marketplaces</h2>
<h3>Letters</h3>
<ul>
<li>November 12, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="67613efa-de37-4f78-a055-28c511587d5e" href="/cciio/resources/files/downloads/11-12-2010tribal_ldr_letter.pdf" title="11-12-2010tribal_ldr_letter">HHS Letter to Tribal Leader on Tribal Consultation (PDF 30 KB) (PDF)</a></li>
<li>November 18, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="c637cdab-f640-4cf0-a955-dd7580d05a9d" href="/cciio/resources/files/downloads/exchange_guidance_cover_letter_101118.pdf" title="exchange_guidance_cover_letter_101118">HHS Letter to Governor Gregoire, Commissioner Cline and Senator Moore Regarding Initial Guidance of Health Insurance Exchanges (PDF 88 KB) (PDF)</a></li>
<li>August 10, 2011<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="4812b7f9-cefa-4389-aa92-fd2b9e8260cb" href="/cciio/resources/files/downloads/final_tri_agency_letter_081011.pdf" title="final_tri_agency_Letter_081011">Tri-Agency Letter Addressing Cost Allocation for Medicaid, CHIP, the Exchange, and Other Human Services Programs (PDF - 189 KB) (PDF)</a></li>
<li>January 23, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="ff05706c-75fe-4bba-8782-012d3bbea4cc" href="/cciio/resources/files/downloads/smd-1-23-12.pdf" title="SMD-1-23-12">Tri -Agency Letter Providing Additional Guidance on Cost Allocation for Medicaid, CHIP, the Exchange, and Other Human Services Programs (PDF - 201 KB) (PDF)</a></li>
<li>May 16, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="d2ae3698-8cbc-45c8-8bc1-a1ef560cba78" href="/cciio/resources/files/downloads/oos-gov-ltr-05-16-2012.pdf" title="oos-gov-ltr-05-16-2012">HHS Letter to Governors on Affordable Insurance Exchange Guidance (PDF - 31 KB) (PDF)</a></li>
<li>November 9, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="29382a63-86a4-4331-b48d-a8c4bc9fcf2b" href="/cciio/resources/technical-implementation-letters/downloads/exchange-blueprint-letter.pdf" title="exchange-blueprint-letter">HHS Letter to Governors on Exchange Blueprint Submission (PDF)</a> (PDF - 82 KB)</li>
<li>November 16, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="8d828db9-a1aa-4717-875a-e29f19798a82" href="/cciio/resources/technical-implementation-letters" title="Technical Implementation Letters">State Letters on Exchanges</a></li>
<li>December 10, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="624a30cc-77c3-46b0-bb29-355c8a3aa564" href="/cciio/resources/files/downloads/co-blueprint-exchange-letter-12-07-2012.pdf" title="co-blueprint-exchange-letter-12-07-2012">Letter to CO Governor on Conditional Approval to Establish a State-based Exchange (PDF 53 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="db77f757-97ea-439c-9afa-c9580549593b" href="/cciio/resources/files/downloads/ct-blueprint-exchange-letter-12-07-2012.pdf" title="ct-blueprint-exchange-letter-12-07-2012">Letter to CT Governor on Conditional Approval to Establish a State-based Exchange (PDF 53 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="19712921-fbf3-42e9-82ed-2b51be001c37" href="/cciio/resources/files/downloads/md-blueprint-exchange-letter-12-07-2012.pdf" title="md-blueprint-exchange-letter-12-07-2012">Letter to MD Governor on Conditional Approval to Establish a State-based Exchange&nbsp;(PDF 54 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="c2b77d61-206e-4835-9dc9-8f783760fb7e" href="/cciio/resources/files/downloads/ma-blueprint-exchange-letter-12-07-2012.pdf" title="ma-blueprint-exchange-letter-12-07-2012">Letter to MA Governor on Conditional Approval to Establish a State-based Exchange (PDF 53 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="7b4c8cd1-52ef-4f27-8a7d-b20de11e6fa8" href="/cciio/resources/files/downloads/or-blueprint-letter-12-07-2012.pdf" title="or-blueprint-letter-12-07-2012">Letter to OR Governor on Conditional Approval to Establish a State-based Exchange (PDF 52 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="fbcb934c-c128-4d52-bb7c-54e435d96096" href="/cciio/resources/files/downloads/wa-blueprint-exchange-letter-12-07-2012.pdf" title="wa-blueprint-exchange-letter-12-07-2012">Letter to WA Governor on Conditional Approval to Establish a State-based Exchange&nbsp;(PDF 54 KB) (PDF)</a></li>
<li>December 10, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="28da50f9-034f-488a-92aa-237335013ddf" href="/cciio/resources/files/downloads/gov-letter-faqs-12-10-2012.pdf" title="gov-letter-faqs-12-10-2012">Letter to Governors on Exchanges, Market Reforms and Medicaid Frequently Asked Questions (PDF 72 KB) (PDF)</a></li>
<li>December 10, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="89e4f93c-1250-42d5-8f29-5bafa1746b9d" href="/cciio/resources/files/downloads/gov-letter-territories-12-10-2012.pdf" title="gov-letter-territories-12-10-2012">Letter to Governors on Information for Territories Regarding the Affordable Care Act (PDF 532 KB) (PDF)</a></li>
<li>December 14, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="0e384b11-23c6-4efa-a5e0-850658f99c4f" href="/cciio/resources/files/downloads/dc-blueprint-exchange-letter-12-14-2012.pdf" title="dc-blueprint-exchange-letter-12-14-2012">Letter to DC on Conditional Approval to Establish a State-based Exchange (PDF 55 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="36bc4fed-c875-4727-a7d3-4e3836e1674c" href="/cciio/resources/files/downloads/ky-blueprint-exchange-letter-12-14-2012.pdf" title="ky-blueprint-exchange-letter-12-14-2012">Letter to KY Governor on Conditional Approval to Establish a State-based Exchange (PDF 52 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="aaec909a-88c8-4f03-bd26-99b8f10c6d15" href="/cciio/resources/files/downloads/ny-blueprint-exchange-letter-12-14-2012.pdf" title="ny-blueprint-exchange-letter-12-14-2012">Letter to NY Governor on Conditional Approval to Establish a State-based Exchange (PDF 50 KB) (PDF)</a></li>
<li>December 20, 2012<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="4f4fb33e-88ea-4390-86b2-323a03d210d6" href="/cciio/resources/files/downloads/de-blueprint-exchange-letter-12-20-2012.pdf" title="de-blueprint-exchange-letter-12-20-2012">Letter to DE on Conditional Approval to Establish a State Partnership Exchange&nbsp;(PDF 53 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="6f8558c3-76d0-4c6c-9650-4cf0e72fe99f" href="/cciio/resources/files/downloads/mn-blueprint-exchange-letter-12-20-2012.pdf" title="mn-blueprint-exchange-letter-12-20-2012">Letter to MN on Conditional Approval to Establish a State-based Exchange (PDF 44 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="79b10b2c-6d6d-4fdc-80ca-a22049bd211b" href="/cciio/resources/files/downloads/ri-blueprint-exchange-letter-12-20-2012.pdf" title="ri-blueprint-exchange-letter-12-20-2012">Letter to RI on Conditional Approval to Establish a State-based Exchange (PDF 55 KB) (PDF)</a></li>
<li>January 3, 2013<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="55530044-03db-4cbd-b5f6-056b67cd38d6" href="/cciio/resources/files/downloads/ar-blueprint-exchange-letter-01-03-2013.pdf" title="ar-blueprint-exchange-letter-01-03-2013">Letter to AR on Conditional Approval to Establish a State Partnership Exchange&nbsp;(PDF 71 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="53b3ed9a-2879-4d6e-bb4c-0f2d2c0a6d47" href="/cciio/resources/files/downloads/ca-blueprint-exchange-letter-01-03-2013.pdf" title="ca-blueprint-exchange-letter-01-03-2013">Letter to CA on Conditional Approval to Establish a State-based Exchange&nbsp;(PDF 56 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="1dee939f-fa19-4364-98cc-4219448fd714" href="/cciio/resources/files/downloads/hi-blueprint-exchange-letter-01-03-2013.pdf" title="hi-blueprint-exchange-letter-01-03-2013">Letter to HI on Conditional Approval to Establish a State-based Exchange&nbsp;(PDF 77 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="f11da1a9-9e87-448f-a37d-a03e728ac0a9" href="/cciio/resources/files/downloads/id-blueprint-exchange-letter-01-03-2013.pdf" title="id-blueprint-exchange-letter-01-03-2013">Letter to ID on Conditional Approval to Establish a State-based Exchange (PDF 69 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="b9d9d3cd-5c16-440f-ab5b-47e7c1163975" href="/cciio/resources/files/downloads/nv-blueprint-exchange-letter-01-03-2013.pdf" title="nv-blueprint-exchange-letter-01-03-2013">Letter to NV on Conditional Approval to Establish a State-based Exchange (PDF 59 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="f26a8446-ddca-4911-82d2-08bf7524ae79" href="/cciio/resources/files/downloads/nm-blueprint-exchange-letter-01-03-2013.pdf" title="nm-blueprint-exchange-letter-01-03-2013">Letter to NM on Conditional Approval to Establish a State-based Exchange (PDF 64 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="56e52e78-9c3a-423b-a990-3d636f7fd9c5" href="/cciio/resources/files/downloads/ut-blueprint-exchange-letter-01-03-2013.pdf" title="ut-blueprint-exchange-letter-01-03-2013">Letter to UT on Conditional Approval to Establish a State-based Exchange (PDF 75 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="0ad0d30d-7428-49ae-af48-54d84b1b718b" href="/cciio/resources/files/downloads/vt-blueprint-exchange-letter-01-03-2013.pdf" title="vt-blueprint-exchange-letter-01-03-2013">Letter to VT on Conditional Approval to Establish a State-based Exchange (PDF 69 KB) (PDF)</a></li>
<li>February 8, 2013<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="af3f010b-bc4e-4c21-9de7-734979f2d1ea" href="/cciio/resources/files/downloads/ms-exchange-letter-02-08-2013.pdf" title="ms-exchange-letter-02-08-2013">Letter to Mississippi regarding Marketplace (PDF - 192 KB) (PDF)</a></li>
<li>February 13, 2013<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="cbb8688f-fa2d-48ac-ae9c-4ec99db65d6d" href="/cciio/resources/files/downloads/il-blueprint-exchange-letter-02-13-2013.pdf" title="il-blueprint-exchange-letter-02-13-2013">Letter to Illinois regarding Conditional Approval of Partnership Marketplace (PDF - 80 KB) (PDF)</a></li>
<li>March 7, 2013<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="b2b32022-744c-40c4-809f-0c6b2a2800f9" href="/cciio/resources/files/downloads/ia-blueprint-letter-3-5-2013.pdf" title="ia-blueprint-letter-3-5-2013">Letter to Iowa regarding Conditional Approval of Partnership Marketplace (PDF - 47 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="31b39d9f-53a7-4f20-84a4-169c0987b089" href="/cciio/resources/files/downloads/mi-blueprint-letter-3-5-2013.pdf" title="mi-blueprint-letter-3-5-2013">Letter to Michigan regarding Conditional Approval of Partnership Marketplace (PDF - 58 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="822e0b0d-7227-4554-9371-976726e64faa" href="/cciio/resources/files/downloads/nh-blueprint-letter-3-5-2013.pdf" title="nh-blueprint-letter-3-5-2013">Letter to New Hampshire regarding Conditional Approval of Partnership Marketplace (PDF - 50 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="2ed94a32-df71-4e3e-b8c8-48c0011344cb" href="/cciio/resources/files/downloads/wv-blueprint-letter-3-5-2013.pdf" title="wv-blueprint-letter-3-5-2013">Letter to West Virginia regarding Conditional Approval of Partnership Marketplace (PDF - 50 KB) (PDF)</a><br>
&nbsp;<span class="mceNonEditable rx_inlinevariant"> <a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="546d223f-d21b-4854-9ec0-31c2d4738f65" href="/cciio/resources/letters/downloads/ar-cond-approv-update-5-7-2013.pdf" type="application/pdf" title="Supplemental Letter to Arkansas on Conditional Approval to Establish a State Partnership Marketplace">Supplemental Letter to Arkansas on Conditional Approval to Establish a State Partnership Marketplace (PDF)</a> </span><br>
&nbsp;<span class="mceNonEditable rx_inlinevariant"> <a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="21f06709-f2d5-4cd9-b7a4-90b19e6ec7ea" href="/cciio/resources/letters/downloads/de-cond-approv-update-5-7-2013.pdf" type="application/pdf" title="Supplemental Letter to Delaware on Conditional Approval to Establish a State Partnership Marketplace">Supplemental Letter to Delaware on Conditional Approval to Establish a State Partnership Marketplace (PDF)</a> </span><br>
&nbsp;<span class="mceNonEditable rx_inlinevariant"> <a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="05e17828-4570-480e-98bc-713b3832f8da" href="/cciio/resources/letters/downloads/il-cond-approv-update-5-7-2013.pdf" type="application/pdf" title="Supplemental Letter to Illinois on Conditional Approval to Establish a State Partnership Marketplace">Supplemental Letter to Illinois on Conditional Approval to Establish a State Partnership Marketplace (PDF)</a> </span></li>
<li>May 10, 2013<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="a817fd20-0e1b-4c64-81ed-5efd36c15632" href="/cciio/resources/fact-sheets-and-faqs/downloads/utah-marketplace-letter-5-10-2013-508.pdf" title="utah-marketplace-letter-5-10-2013-508">Letter to Utah regarding Small Business Health Options Program (PDF)</a> &nbsp;(PDF - 276 KB)</li>
<li>May 13, 2013<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="50ee3a47-4f73-4ca4-96cc-ab8bce16f32b" href="/cciio/resources/fact-sheets-and-faqs/downloads/ecp-letter-20130513.pdf" title="ecp-letter-20130513">Letter to Essential Community Providers (PDF)</a> &nbsp;(PDF 99 KB)</li>
<li>June 14, 2013<br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="ef78c0c2-1aff-4ea3-b3e6-309e5d8a7adf" href="/cciio/resources/letters/downloads/naic-pi-reg-6-14-2013.pdf" type="application/pdf" title="Letter to NAIC regarding Program Integrity Proposed Rule">Letter to NAIC regarding Program Integrity Proposed Rule (PDF)</a> </span></li>
<li>October 1, 2013<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="c4d21fc0-3cd2-4b79-9fe3-db7d6a68b716" href="/cciio/resources/fact-sheets-and-faqs/downloads/ms-shop-marketplace-10-01-2013.pdf" title="ms-shop-marketplace-10-01-2013">Letter to Mississippi regarding Small Business Health Options Program (PDF - 80 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="7d49080f-9b05-4e65-b469-e4df959cf510" href="/cciio/resources/fact-sheets-and-faqs/downloads/ut-shop-marketplace-10-01-2013.pdf" title="ut-shop-marketplace-10-01-2013">Letter to Utah regarding Small Business Health Options Program (PDF - 85 KB) (PDF)</a></li>
<li>December 31, 2013<br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="1ec27163-ece4-40e8-874e-ff74d418148f" href="/cciio/resources/letters/downloads/verifications-report-12-31-2013.pdf" type="application/pdf" title="Letter and Report to Congress on Verification of Household Income and Other Qualifications for the Provision of Affordable Care Act Premium Tax Credits and Cost-Sharing Reductions">Letter and Report to Congress on Verification of Household Income and Other Qualifications for the Provision of Affordable Care Act Premium Tax Credits and Cost-Sharing Reductions (PDF)</a> </span></li>
<li>June 15, 2015<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="2e3e69b5-94df-420a-82a7-fd774d4aa363" href="/cciio/resources/letters/downloads/final-signed-letters-sbm-ar.pdf" title="Letter to AR Governor on Conditional Approval to Establish a State-based Exchange">Letter to AR Governor on Conditional Approval to Establish a State-based Exchange (PDF)</a> (PDF 53 KB)<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="5bb34ef6-2a57-4d51-8328-ceb4bc1368d7" href="/cciio/resources/letters/downloads/final-signed-letters-sbm-de.pdf" title="Letter to DE Governor on Conditional Approval to Establish a State-based Exchange">Letter to DE Governor on Conditional Approval to Establish a State-based Exchange (PDF)</a> (PDF 53 KB)<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="2d6e5492-e34e-44d5-8862-41f96d97cd1e" href="/cciio/resources/letters/downloads/final-signed-letters-sbm-pa.pdf" title="Letter to PA Governor on Conditional Approval to Establish a State-based Exchange">Letter to PA Governor on Conditional Approval to Establish a State-based Exchange (PDF)</a> (PDF 54 KB)</li>
<li>October 4, 2016<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="b05465da-aac3-4f5a-a039-e6a706b04782" href="/cciio/resources/letters/downloads/bevin_final_signed.pdf" title="Bevin_Final_Signed">Letter to Kentucky Governor on Approval of Kentuckys Transition from an SBM to SBM-FP (PDF)</a></li>
</ul>
<p>&nbsp;</p>
<p><em>Note: People using assistive technology may not be able to fully access information in these files.<br>
For assistance, please email <a href="mailto:healthcareweb@hhs.gov">healthcareweb@hhs.gov</a>.</em></p>
<h2><a id="Planning_and_Establishment_Grants"></a>Planning and Establishment Grants</h2>
<h3>News Releases</h3>
<ul>
<li>July 29, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160643/http://www.hhs.gov/news/press/2010pres/07/20100729a.html" target="T163616" title="HHS Announces Availability of $51 Million in Resources for States to Build New Competitive Health Insurance Marketplace - Opens in a new window">HHS Announces Availability of $51 Million in Resources for States to Build New Competitive Health Insurance Marketplace<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>January 20, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162317/http://www.hhs.gov/news/press/2011pres/01/20110120c.html" target="T163617" title="HHS Announces New Resources to Help States Implement Affordable Care Act: States continue to move forward, have new support to implement Health Insurance Exchanges - Opens in a new window">HHS Announces New Resources to Help States Implement Affordable Care Act: States continue to move forward, have new support to implement Health Insurance Exchanges<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>July 11, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162125/http://www.hhs.gov/news/press/2011pres/07/20110711a.html" target="T163618" title="HHS and states move to establish Affordable Insurance Exchanges, give Americans the same insurance choices as members of Congress - Opens in a new window">HHS and states move to establish Affordable Insurance Exchanges, give Americans the same insurance choices as members of Congress<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>August 12, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162108/http://www.hhs.gov/news/press/2011pres/08/20110812a.html" target="T163619" title="HHS, Treasury take new steps to help states build Affordable Insurance Exchanges - Opens in a new window">HHS, Treasury take new steps to help states build Affordable Insurance Exchanges<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h2><a id="Early_Innovator_Grants"></a>Early Innovator Grants</h2>
<h3>News Releases</h3>
<ul>
<li>October 29, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160511/http://www.hhs.gov/news/press/2010pres/10/20101029a.html" target="T163620" title="HHS Announces New Competitive “Early Innovator” Grants for States that Lead the Race to Develop IT Systems for State Exchanges - Opens in a new window">HHS Announces New Competitive “Early Innovator” Grants for States that Lead the Race to Develop IT Systems for State Exchanges<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>February 16, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162253/http://www.hhs.gov/news/press/2011pres/02/20110216a.html" target="T163621" title="States Leading the Way on Implementation: HHS Awards “Early Innovator” Grants to Seven States - Opens in a new window">States Leading the Way on Implementation: HHS Awards “Early Innovator” Grants to Seven States<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h2><a id="Information_Technology_Systems"></a>Information Technology Systems</h2>
<h3>News Releases</h3>
<ul>
<li>November 3, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160509/http://www.hhs.gov/news/press/2010pres/11/20101103a.html" target="T163623" title="HHS announces new federal support for states to develop and upgrade Medicaid IT systems and systems for enrollment in state exchanges - Opens in a new window">HHS announces new federal support for states to develop and upgrade Medicaid IT systems and systems for enrollment in state exchanges<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h2><a id="State_Innovations"></a>State Innovations</h2>
<h3>News Releases</h3>
<ul>
<li>March 10, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162240/http://www.hhs.gov/news/press/2011pres/03/20110310a.html" target="T163688" title="Obama Administration Takes New Steps to Support Innovation, Empower States - Opens in a new window">Obama Administration Takes New Steps to Support Innovation, Empower States<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h2><a id="Health_Market_Reforms"></a>Health Market Reforms</h2>
<h2>Letters</h2>
<ul>
<li>November 14, 2013<br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="6be8e3a6-632a-48c7-beaf-93853d15042c" href="/cciio/resources/letters/downloads/commissioner-letter-11-14-2013.pdf" type="application/pdf" title="Letter to Insurance Commissioners on Market Transitional Policy">Letter to Insurance Commissioners on Market Transitional Policy (PDF)</a> </span></li>
<li>July 16, 2014<br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="7c29c574-bb69-4944-a074-89ffa14276af" href="/cciio/resources/letters/downloads/letter-to-francis.pdf" type="application/pdf" title="Letter to Virgin Islands on the Definition of State">Letter to Virgin Islands on the Definition of State (PDF)</a> </span><br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="406ff621-88a0-4da5-b0f3-c01931832f30" href="/cciio/resources/letters/downloads/letter-to-igisomar.pdf" type="application/pdf" title="Letter to Northern Mariana Islands on the Definition of State">Letter to Northern Mariana Islands on the Definition of State (PDF)</a> </span><br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="2fb56ec8-d432-4a0e-9089-c3bd06b67efd" href="/cciio/resources/letters/downloads/letter-to-ilagan.pdf" type="application/pdf" title="Letter to Guam on the Definition of State">Letter to Guam on the Definition of State (PDF)</a> </span><br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="09cfe9af-e4e7-4ef6-ae33-bca35ece6841" href="/cciio/resources/letters/downloads/letter-to-tanuvasa.pdf" type="application/pdf" title="Letter to American Samoa on the Definition of State">Letter to American Samoa on the Definition of State (PDF)</a> </span><br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="16d83758-94f4-4da0-8ea2-85ee3433a495" href="/cciio/resources/letters/downloads/letter-to-weyne.pdf" type="application/pdf" title="Letter to Puerto Rico on the Definition of State">Letter to Puerto Rico on the Definition of State (PDF)</a> </span></li>
<li>March 8, 2018<br>
<span class="mceNonEditable rx_inlinevariant"><a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="e8a097bd-bd87-4f13-b31f-7d1633a8e47d" href="/cciio/resources/letters/downloads/letter-to-otter.pdf" type="application/pdf" title="Letter to Idaho Governor and Department of Insurance Director on Idaho Bulletin No. 18-01">Letter to Idaho Governor and Department of Insurance Director on Idaho Bulletin No. 18-01 (PDF)</a> </span></li>
<li>June 27, 2022<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="17f18356-a465-47b1-855a-f932ad7c7f56" href="/files/document/letter-plans-and-issuers-access-contraceptive-coverage.pdf" title="letter-to-plans-and-issuers-on-access-to-contraceptive-coverage">Letter to Issuers and Plans on Access to Contraceptive Coverage (PDF)</a></li>
<li>May 31, 2023<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="81e8330a-5c2c-413f-8006-647fea19deb2" href="/files/document/virginia-preliminary-determination-letter.pdf" title="Virginia Preliminary Determination Letter">Letter to Virginia Governor and Insurance Commissioner on HB 768/SB335 (2022) - Preliminary Determination (PDF)</a></li>
<li>September 6, 2023<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="efdc546f-9e46-4c70-85f8-464e7298f0c1" href="/files/document/letter-virginia-governor-and-insurnace-commissioner-hb-768sb-335-2022-final-determination.pdf" title="Letter to Virginia Governor and Insurnace Commissioner on HB 768SB 335 (2022) - Final Determination">Letter to Virginia Governor and Insurance Commissioner on HB 768/SB 335 (2022) - Final Determination (PDF)</a></li>
</ul>
<h2><a id="Annual_Limits"></a>Annual Limits</h2>
<h3>News Releases</h3>
<ul>
<li>December 9, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160448/http://www.hhs.gov/news/press/2010pres/12/20101209c.html" target="T163625" title="Affordable Care Act increases transparency for consumers in “mini-med” plans - Opens in a new window">Affordable Care Act increases transparency for consumers in “mini-med” plans<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<p>&nbsp;</p>
<h2><a id="Coverage_for_Young_Adults"></a>Coverage for Young Adults</h2>
<h3>Letters</h3>
<ul>
<li>September 24, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="33a9f302-5972-4e5d-8520-a8528cde16a9" href="/cciio/resources/files/downloads/dwnlds/ignagni.pdf" title="ignagni">Letter from Secretary Sebelius to Americas Health Insurance Plans Regarding Childrens Access to Health Insurance (PDF 234 KB) (PDF)</a><br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="c028d74e-e98a-4075-b726-71e33f8b2b41" href="/cciio/resources/files/downloads/dwnlds/serota.pdf" title="serota">Letter from Secretary Sebelius to Blue Cross and Blue Shield Association Regarding Childrens Access to Health Insurance (PDF 255 KB) (PDF)</a></li>
<li>October 13, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="511e010e-f0b7-496b-b7bd-ed0c2b86d2aa" href="/cciio/resources/files/downloads/letter_to_j_cline.pdf" title="letter_to_j_cline">Letter from Secretary Sebelius to Jane L. Cline Regarding Child-Only Policies (PDF 214 KB) (PDF)</a></li>
</ul>
<p>&nbsp;</p>
<h2><a id="Grandfathered_Plans"></a>Grandfathered Plans</h2>
<h3>Letters</h3>
<ul>
<li>April 12, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="http://www.healthcare.gov/center/letters/naicletter.html" target="T163626" title="HHS Secretary Sebelius letter to the National Association of Insurance Commissioners (NAIC) Requesting Guidance by June 1, 2010 - Opens in a new window">HHS Secretary Sebelius letter to the National Association of Insurance Commissioners (NAIC) Requesting Guidance by June 1, 2010<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<p>&nbsp;</p>
<h2><a id="Medical_Loss_Ratio"></a>Medical Loss Ratio</h2>
<h3>Letters</h3>
<ul>
<li>April 12, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="http://www.healthreform.gov/newsroom/naicletter.html" target="_blank" title="Summary Statement Secretarial Correspondence Regarding NAIC - Opens in a new window">Summary Statement Secretarial Correspondence Regarding NAIC<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h3>News Releases</h3>
<ul>
<li>November 22, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20170119230246/https://www.hhs.gov/about/news/2013/02/20/health-care-law-allows-consumers-to-easily-find-and-compare-options-starting-in-2014.html" target="T163628" title="New Affordable Care Act rule give consumers better value for insurance premiums - Opens in a new window">New Affordable Care Act rule give consumers better value for insurance premiums<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<p>&nbsp;</p>
<h2><a id="Review_of_Insurance_Rates"></a>Review of Insurance Rates</h2>
<p><strong>Letters</strong></p>
<ul>
<li>June 7, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="578439b7-2691-4bc5-aa65-718b5e91e497" href="/cciio/resources/files/downloads/govrs_ltr_rate_review_final_060710.pdf" title="govrs_ltr_rate_review_final_060710">HHS Secretary Sebelius Letter to Governors and State Insurance Commissioners Announcing the Availability of the First Round of Health Insurance Premium Review Grants (PDF 23 KB) (PDF)</a></li>
<li>October 18, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="784849ce-4f72-4a78-8393-ee5621e602f0" href="/cciio/resources/files/downloads/letter_to_cid.pdf" title="letter_to_cid">HHS/OCIIO Letter to Connecticut Insurance Department on Anthem Insurance Companys Premium Rate Increase (PDF 45 KB) (PDF)</a></li>
<li>December 21, 2010<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="628e67c8-37d1-4279-9e2b-7a5be9bade8a" href="/cciio/resources/files/downloads/letter_to_insurance_commissioners.pdf" title="letter_to_insurance_commissioners">HHS Secretary Sebelius Letter to Insurance Commissioners Regarding Premium Rate Review (PDF)</a></li>
<li>July 21, 2015<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="acf0e196-7d01-490e-9fd1-a09129e297d3" href="/cciio/resources/letters/downloads/doi-commissioner-letter-7-20-15.pdf" title="DOI Commissioner Letter 7 20 15">HHS/CCIIO Letter to Insurance Commissioners on Rate Review (PDF)</a></li>
</ul>
<h3>News Releases</h3>
<ul>
<li>August 16, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160628/http://www.hhs.gov/news/press/2010pres/08/20100816a.html" target="T163629" title="$46 Million in Grants to Help States Crack Down on Unreasonable Health Insurance Premium Hikes - Opens in a new window">$46 Million in Grants to Help States Crack Down on Unreasonable Health Insurance Premium Hikes<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>December 21, 2010<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20131018160440/http://www.hhs.gov/news/press/2010pres/12/20101221a.html" target="T163630" title="New Affordable Care Act rules shed light on high health insurance rate hikes - Opens in a new window">New Affordable Care Act rules shed light on high health insurance rate hikes<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>February 24, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162247/http://www.hhs.gov/news/press/2011pres/02/20110224a.html" target="T163631" title="States Can Apply for Nearly $200 Million to Help Fight Health Premium Increases - Opens in a new window">States Can Apply for Nearly $200 Million to Help Fight Health Premium Increases<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
<li>May 19, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162200/http://www.hhs.gov/news/press/2011pres/05/20110519a.html" target="T163632" title="Affordable Care Act helps fight unreasonable health insurance premium increases - Opens in a new window">Affordable Care Act helps fight unreasonable health insurance premium increases<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<p>&nbsp;</p>
<h2><a id="Student_Health_Plans"></a>Student Health Plans</h2>
<h3>News Releases</h3>
<ul>
<li>February 9, 2011<br>
<span class="mceNonEditable rx_inlinevariant"><a href="https://wayback.archive-it.org/3926/20140108162258/http://www.hhs.gov/news/press/2011pres/02/20110209a.html" target="T163633" title="New Rule Ensures Students Get Health Insurance Protections of the Affordable Care Act - Opens in a new window">New Rule Ensures Students Get Health Insurance Protections of the Affordable Care Act<span class="LinkDisclaimer"> - Opens in a new window</span></a> </span></li>
</ul>
<h2 id="Non-Federal_Governmental_Plans"><span class="mceNonEditable rx_inlinevariant"><span class="LinkDisclaimer">Non-Federal Governmental Plans</span></span></h2>
<h3><span class="mceNonEditable rx_inlinevariant"><span class="LinkDisclaimer">Letters</span></span></h3>
<ul>
<li><span class="mceNonEditable rx_inlinevariant"><span class="LinkDisclaimer">June 5, 2020<br>
<a data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="884e5c54-c0e6-4f0c-ba61-52829e44aa70" href="/files/document/covid-19-letter-to-non-federal-governmental-plans.pdf" title="COVID-19-Letter-to-Non-Federal-Governmental-Plans">Letter to Sponsors of non-Federal Governmental Plans Regarding COVID-19 Guidance (PDF)</a></span></span></li>
</ul>
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