12 a Provide a description by plan for the non-essential health See Section I, Table 2 below. benefits (EHBs) used for pricing and rate development. b Rate impact PMPM for each non-EHB. See Section I, Table 2 below. 13 a Per WAC 284-43-5640(4)(a)(vii), For each plan listed in See Section I, Table 2 below. voluntary termination of the rate filing, indicate pregnancy may be included in an whether voluntary issuer's essential health benefits termination of package, but nothing in this pregnancy is a covered section requires an issuer to offer service. the benefit, consistent with 42 b If voluntary termination See Section I, Table 2 below. U.S.C. 18023 (b)(1)(A)(i) and 45 of pregnancy is covered, CFR. 156.115. This means that indicate the pricing per issuers are not required to cover member per voluntary abortion services. (PMPM). See 45 CFR However, if issuers decide to cover §156.280(e)(4). voluntary abortion services, the c Explain in detail that Part abortion services will be part of I Unified Rate Review essential health benefits. In Template (URRT) addition, 45 CFR §156.280(e)(4) Worksheet 2 is entered sets certain requirements for appropriately in terms of pricing termination of pregnancy. termination of Provide the following questions pregnancy for each plan. related to termination of See URRT Instructions. pregnancy.
12 a Provide a description by plan for the non-essential health benefits (EHBs) used for pricing and rate development. See Section I, Table 2 below. b Rate impact PMPM for each non-EHB. See Section I, Table 2 below. 13 a Per WAC 284-43-5640(4)(a)(vii), voluntary termination of pregnancy may be included in an issuer's essential health benefits package, but nothing in this section requires an issuer to offer the benefit, consistent with 42 U.S.C. 18023 (b)(1)(A)(i) and 45 CFR. 156.115. This means that issuers are not required to cover voluntary abortion services. However, if issuers decide to cover voluntary abortion services, the abortion services will be part of essential health benefits. In addition, 45 CFR §156.280(e)(4) sets certain requirements for pricing termination of pregnancy. Provide the following questions related to termination of pregnancy. For each plan listed in the rate filing, indicate whether voluntary termination of pregnancy is a covered service. See Section I, Table 2 below. b If voluntary termination of pregnancy is covered, indicate the pricing per member per (PMPM). See 45 CFR §156.280(e)(4). See Section I, Table 2 below. c Explain in detail that Part I Unified Rate Review Template (URRT) Worksheet 2 is entered appropriately in terms of termination of pregnancy for each plan. See URRT Instructions.
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