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Acme · Plan year starting 2027-01-01
Section 7 of 11 · CAA
Saved 3:11 PM
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ERISA/5500
9/9
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ACA
8/8
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Medicare / MSP Rules
2/2
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COBRA
5/5
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Section 125
4/4
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HIPAA
3/3
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CAA
7/7
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Non-Discrimination Rules
5/5
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Notices/ Disclosures
2/2
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State Requirements
7/7
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ICHRA
4/4
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56 answered
11 of 11 sections done
Section 7 of 11
CAA
Ensuring Healthcare Price Transparency
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Q1
If self or level funded, has the employer performed their Mental Health Parity QTL &
NQTL
comparative analysis
?
Yes
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Q2
If self or level funded, Has the TPA provided 2 separate
Machine-Readable Files
of required healthcare costs?
No
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Q3
If self or level funded, does the employer or their TPA provide an
online, self-service, searchable tool
that provides information on the cost-share for items and services covered by the health plan?
Yes
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Q4
If self or level funded, has the employer submitted the required
Prescription Drug Data Collection (RxDC)
reporting to CMS, or are plans in place to complete annually by the June 1st deadline?
Yes
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Q5
Does the employer apply the in-network cost share when a participant receives out-of-network emergency services, some non-emergency services at an in-network facility, and/or air ambulance? (i.e.- no balance billing)?
No
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Q6
Is the employer providing participants with the
No Surprises Act notice
as required?
Not Sure
Q7
If self or level funded, who will submit the online
Gag Clause Prohibition Compliance Attestation (GCPCA)
annually by 12/31?
Carrier
Medical TPA
Employer
TPA and Employer both
Not Sure
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