14 Are the renewing plan rate changes consistent URRT (Worksheet 2), View Rate Review Detail under SERFF Rate/Rule Schedule tab, Part II (Written Description Justifying the Rate Increase), and Uniform Product Modification Justification (UPMJ) Documentation? If not, please explain. 15 Are the financial data in URRT Worksheet I, Section I, Part II, and WAC 284-43-6660 consistent as of 2017? If not, please explain. For the percentage change in WAC please use the calculated overall average rate change in UPMJ. Section I: Table 2: 2018 Plan Information Table 1 Line 8 9 10 11 12 Number a b a b a b HIOS Plan ID Plan Name Metal Level Service Area Unique Description of Pediatric Description of Rate Voluntary Indicate the pricing per Number and Plan unique benefit Dental Non-Essential Impact for termination of member per month Counties Design design Embedded Health Benefits each pregnancy is a (PMPM). See 45 CFR (Yes/No) (Yes/No) (EHBs) covered service. §156.280(e) (4). (Yes/No)
14 Are the renewing plan rate changes consistent URRT (Worksheet 2), View Rate Review Detail under SERFF Rate/Rule Schedule tab, Part II (Written Description Justifying the Rate Increase), and Uniform Product Modification Justification (UPMJ) Documentation? If not, please explain. 15 Are the financial data in URRT Worksheet I, Section I, Part II, and WAC 284-43-6660 consistent as of 2017? If not, please explain. For the percentage change in WAC please use the calculated overall average rate change in UPMJ. Section I: Table 2: 2018 Plan Information Table 1 Line Number 8 9 10 11 12 a b a b a b HIOS Plan ID Plan Name Metal Level Service Area Number and Counties Unique Plan Design (Yes/No) Description of unique benefit design Pediatric Dental Embedded (Yes/No) Description of Non-Essential Health Benefits (EHBs) Rate Impact for each Voluntary termination of pregnancy is a covered service. (Yes/No) Indicate the pricing per member per month (PMPM). See 45 CFR §156.280(e) (4).
checklist-rates-2018-small-group-nongrandfathered-health-plans.docx