Carrier Participation in Public Health Insurance Exchanges

Transcription

1 Carrier Participation in Public Health s Excerpted from Chapter 8 of AIS s Health s Directory and Factbook, the definitive health industry guide to health insurance exchange implementation and stakeholder strategies. Brought to you compliments of Atlantic Information Services, Inc. (AISHealth.com). The Patient Protection and Affordable Care Act (ACA) called for the creation of a government-run health insurance exchange in each state to serve individuals who do not have employer-based insurance. The public insurance exchanges launch Oct. 1, Each state was invited to launch its own health insurance exchange, and for states that did not wish to do so, the federal government will launch and maintain an exchange for them. Health insurance exchanges are web-based marketplaces that allow consumers to compare health plans, enroll and pay premiums. They are a significant part of the health reform law, and the primary way in which the law attempts to create greater accessibility to health insurance and greater transparency about insurance products. Public exchanges are designated as either State-Sponsored or Federally Facilitated or as State-Federal Partnerships in instances where the state did not want the total responsibility but wanted some input or intends to take over the exchange functions from the federal government in the future. AIS s Health Directory and Factbook also covers private-sector exchanges, which have been around for several years and have proliferated as a result of the interest created by the new law. The book features directories of both public and private exchanges, as well as the government officials, personnel, experts and vendors that have joined to implement this huge transformation in the way health insurance is sold. U.S. Health Landscape Sector Type/Description Number of Number With s Feature Private Multi-Carrier 26 Private Single-Carrier 9 Public Federally Facilitated place Public State-Federal Partnership 6 5 Public State-Sponsored Total Health s Identified by AIS SOURCE: AIS s Health s Directory and Factbook In order to ensure adequate participation and options on exchanges, the law created Consumer Operated and Oriented Plans (CO-OPs), which will be sold on the public exchanges and are intended to enhance the competiveness of the exchange marketplaces. The ACA also created the Small Business Health Option Program () to serve the small group market. The feature mandate was delayed until 2015 for federally facilitated exchanges, but most states are offering a feature in their exchanges starting Oct. 1, Throughout spring and summer of 2013, insurers applied for and contracted with state exchanges some even using the exchanges as an opportunity to enter new markets. Previously, states had selected Essential Health Benefit benchmark plans, which carriers used to design their products and set premiums based on the metal-tier actuarial designations required by the law. States and insurers began

2 negotiating rates, tweaking plan designs and awarding contracts plans that will cover individuals from the uninsured and small group markets for the 2014 plan year. The following table lists the names of insurers and the public exchanges in which they will participate. While many large insurers will participate in the new marketplaces, several big names indicated reluctance to offer products, and some withdrew after submitting applications. Aetna, for example, by mid-september 2013 had withdrawn from five public exchanges, citing concerns about financial viability. The book provides details of the decision making processes and challenges that these plans (and other stakeholders) faced in bringing these new plan offerings to this brand new market. The CD edition of the full product provides details on many of the contracted carriers, including plan names, tier designations and premium rates. This is a partial list of carrier participation decisions and contracts for the 2014 enrollment season that starts Oct. 1, The list reflects contracted health plans as well as those that have applied to state exchanges. The latest available contracts announced as of Oct. 1, 2013, will be featured in the CD edition of AIS s Health Insurance Directory and Factbook: A Guide to Implementation and Stakeholder Strategies. See end of document for ordering information. Carrier Participation in Public Health s ADVANTAGE Health Solutions, Inc. (#472) Aetna (#1359) Indiana. Nationwide. Name Indiana Health Insurance Indiana 2 Arizona State Health Arizona 2 Delaware Health Insurance Delaware D.C. Health Link District of Columbia Florida State Health Florida Your Health Idaho Idaho Get Covered Illinois Illinois 2 Iowa Health Benefit Iowa Kansas State Health Kansas 2 Nebraska State Health Nebraska North Carolina Department of Insurance North Carolina Oklahoma State Health Oklahoma 2 Pennsylvania State Health Pennsylvania 2 Tennessee State Health Tennessee Texas State Health Texas 2 Utah State Health Utah

3 Carrier Participation in Public Health s Name Virginia State Health Virginia 2 Affinity Health Plan (#210) New York. New York State of Health New York Alameda Alliance for Health (#162) California. Covered California California Alliant Health Plans, Inc. Georgia State Health Georgia. (#934) Georgia 2 AmeriHealth Insurance Delaware, D.C., Maryland, New New Jersey State Health Company of New Jersey/ Jersey, Pennsylvania. AmeriHealth HMO, Inc. (#15) New Jersey 2 Avenue H Arches Health Plan (#1744) Utah. Utah State Health Utah Arise Health Plan (#440). Arkansas BlueCross BlueShield (#9) Arkansas. Arkansas Health Arkansas 2 ATRIO Health Plans (#1284) Oregon. Cover Oregon Oregon AultCare Health Plans (#266) Avera Health Plans (#352) Blue Cross & Blue Shield of Rhode Island (#695) of Alabama (#10) of Florida, Inc. (#11) of Illinois (#412) of Kansas (#771) of Kansas City (#635) of Louisiana (#345) of Minnesota (#281) of Montana (#292) of Nebraska (#380) of New Mexico (#371) of North Carolina (#126) of Oklahoma (#580) Ohio, plus Medicare Advantage in other states. Iowa, Nebraska, South Dakota. Iowa Health Benefit South Dakota State Health Iowa South Dakota Massachusetts, Rhode Island. HealthSource RI Rhode Island Alabama. Florida. Alabama State Health Florida State Health Alabama 2 Florida Illinois. Get Covered Illinois Illinois 2 Kansas. Kansas and Missouri. Louisiana. Minnesota, plus Medicare Advantage plans in other states. Montana. Nebraska. New Mexico. New Mexico. North Carolina. Oklahoma. Kansas State Health Kansas State Health Louisiana State Health Kansas 2 Kansas 2 Louisiana MNSure Minnesota 2 Montana State Health Nebraska State Health North Carolina Department of Insurance Oklahoma State Health Montana Nebraska New Mexico New Mexico North Carolina Oklahoma 2

4 Carrier Participation in Public Health s CareFirst BlueCross BlueShield (#368) District of Columbia, Maryland, Virginia. Name Texas State Health Texas. of Texas (#508) Texas 2 of Vermont (#558) Vermont. Vermont Health Connect Vermont Wyoming State Health Wyoming. of Wyoming (#753) Wyoming 2 Blue Cross Blue Shield of Arizona, District of Columbia, Arizona State Health Arizona (#708). Arizona 2 Blue Cross Blue Shield of Massachusetts. Massachusetts (#420) Blue Cross Blue Shield of State Health. (#361) Blue Cross Blue Shield of North Dakota State Health North Dakota. North Dakota (#773) North Dakota 2 Blue Cross of Idaho Health Service, Inc. (#396) Idaho. Your Health Idaho Idaho Blue Cross of Northeastern Pennsylvania State Health Pennsylvania. Pennsylvania (#727) Pennsylvania 2 Blue Shield of California (#136) California. Covered California California BlueCross BlueShield of South Carolina, plus Medicare South Carolina State Health South Carolina (#398) in Florida and North Carolina. South Carolina 2 BlueCross BlueShield of Tennessee State Health Tennessee. Tennessee (#450) Tennessee BlueCross BlueShield of New York, plus Medicare Western New York and Advantage plans in other BlueShield of Northeastern states. New York (#277) New York State of Health New York Bluegrass Family Health, Inc. (#448) Kentucky. Kynect Kentucky 2 Boston Medical Center Massachusetts. HealthNet Plan (#196) Your Health Idaho Idaho Cover Oregon Oregon BridgeSpan Health Utah State Health New Company (#1760) Utah Healthplanfinder Capital BlueCross (#728) Pennsylvania. Pennsylvania State Health Pennsylvania 2 Capital District Physicians' Health Plan, Inc. (CDPHP) (#341) New York. New York State of Health New York D.C. Health Link District of Columbia Maryland Health Connection Maryland CareSource (#257) Kentucky, Ohio,. Arizona, Florida, Georgia, Arkansas Health Arkansas 2 Illinois, Indiana, Kentucky, Georgia State Health Centene Corporation Georgia 2 Louisiana, Massachusetts, (#1543) Mississippi, Missouri, Ohio, Indiana Health Insurance Indiana 2 South Carolina, Texas,

5 Carrier Participation in Public Health s Chinese Community Health Plan (#152) Cigna Corporation (#1224) Choice Health Plans dba San Luis Valley HMO (#105),. Name Mississippi Health Mississippi 2 California. Covered California California Nationwide.. HealthOp (#1747). Common Ground Healthcare Cooperative (#1745) Community Health Alliance (#1788) Community Health Plan of (CHP) (#90) CommunityCare Managed Healthcare Plans of Oklahoma (#483) New. Oklahoma. Arizona State Health Florida State Health Tennessee State Health Texas State Health Tennessee State Health Healthplanfinder Oklahoma State Health Arizona 2 Florida Tennessee Texas 2 Tennessee Oklahoma 2 ConnectiCare, Inc. (#110) Connecticut, Massachusetts. Access Health CT Connecticut Consumers Choice Health South Carolina State Health South Carolina. Plan (#1750) South Carolina 2 Consumer's Mutual State Health Insurance of. (#1735) Contra Costa Health Plan (#148) CoOportunity Health (#1737) DAKOTACARE (#353) Dean Health Insurance, Inc. (#433) Denver Health Medical Plan (#103) Evergreen Health Cooperative (#1740) Contra Costa County, California. New Nationwide, focused in South Dakota... New Covered California California Iowa Health Benefit Nebraska State Health South Dakota State Health Maryland Health Connection Iowa Nebraska South Dakota Maryland

6 Carrier Participation in Public Health s Excellus BlueCross BlueShield (#613) Fallon Community Health Plan (FCHP) (#170) Name New York. New York State of Health New York Massachusetts, plus Medicare Advantage in Connecticut and New Hampshire. Fidelis Care, Inc. (#204) New York. New York State of Health New York FirstCarolinaCare, Inc. North Carolina Department North Carolina. (#984) of Insurance North Carolina Florida Health Care Plans, Florida State Health Florida. Inc. (#462) Florida New Jersey State Health Freelancers Insurance New Jersey 2 New York. Company (#1663) New York State of Health New York Geisinger Health Plan Pennsylvania and West Pennsylvania State Health (#460) Virginia. Pennsylvania 2 Group Health Cooperative. (#73) Healthplanfinder Group Health Cooperative. of Eau Claire (#435) Group Health Cooperative of South Central. (#436) Iowa Health Benefit Gundersen Lutheran Health Plan, Inc. (#437) Harvard Pilgrim Health Care, Inc. (#171) Hawaii Medical Service Association (#592) Health Alliance Medical Plans, Inc. (#315) Health Alliance Plan of (#177) Health First Health Plans, Inc. (#485) Health Net, Inc. (#1347) Health New England, Inc. (#471) Health Republic Insurance (#1743) Health Tradition Health Plan, Inc. (#434) Iowa, Minnesota,. Maine, Massachusetts, New Hampshire. Also has regulatory approval to enroll from border communities in Connecticut, New York, Rhode Island, Vermont. Hawaii, plus Medicare in California and Nevada. Illinois. Illinois.. Florida. Primarily California, Arizona, Oregon and parts of. TRICARE North contract in 22 states and District of Columbia. Massachusetts, Connecticut. Iowa Hawaii Health Hawaii 2 Iowa Health Benefit Iowa Nebraska State Health Nebraska State Health Florida State Health Florida Arizona State Health Arizona 2 Covered California California Cover Oregon Oregon Oregon. Cover Oregon Oregon.

7 Carrier Participation in Public Health s Name Healthfirst (#318) New York and New Jersey, plus Medicare Advantage plans in New York State of Health New York other states. HealthPartners, Inc. (#378) Minnesota, plus Medicare Advantage in Arizona and MNSure Minnesota 2. HealthSpan (#1767) New HealthyCT (#1736) Connecticut. Access Health CT Connecticut Highmark Blue Cross Blue Pennsylvania State Health Pennsylvania. Shield (#286) Pennsylvania 2 Highmark Blue Cross Blue Delaware Health Insurance Delaware. Shield Delaware (#290) Delaware Highmark Blue Cross Blue West Virginia, plus West Virginia State Health Shield West Virginia (#776) County, Ohio. West Virginia HIP, an EmblemHealth Company (#187) New York. New York State of Health New York Horizon Blue Cross Blue New Jersey State Health New Jersey. Shield (#283) New Jersey 2 Alabama State Health Alabama 2 Arizona State Health Arizona 2 Florida State Health Florida Georgia State Health Georgia 2 Get Covered Illinois Illinois 2 Humana Inc. (#1109) Independence Blue Cross (IBC) (#470) Independent Health Association, Inc. (#219) Kaiser Foundation Health Plan of, Inc. (#52) Kaiser Foundation Health Plan of Georgia, Inc. (#45) Kaiser Foundation Health Plan of Hawaii (#958) Nationwide. Delaware, Maryland, New Jersey, Pennsylvania. Kynect Kentucky 2 Louisiana State Health Louisiana State Health Mississippi Health Mississippi 3 Tennessee State Health Tennessee Utah State Health Utah Pennsylvania State Health Pennsylvania 2 New York. New York State of Health New York, plus Arizona, California and Nevada for Medicare. Georgia. Hawaii, plus Medicare in other states. Georgia State Health Georgia 2 Hawaii Health Hawaii 2

8 Carrier Participation in Public Health s Kaiser Foundation Health Plan of Ohio, Inc. (#273) Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. (#49) Kaiser Foundation Health Plan of the Northwest, Inc. (#55) Kaiser Foundation Health Plan, Inc. (#134) Ohio. District of Columbia, Maryland, Virginia. Oregon,, plus Medicare Advantage plans in other states. California, plus Medicare Advantage plans in other states. Name D.C. Health Link District of Columbia Maryland Health Connection Maryland Virginia State Health Virginia 2 Cover Oregon Oregon Healthplanfinder Covered California California Kentucky Health Cooperative, Inc. (#1738) New Kynect Kentucky 2 LA Care Health Plan (#564) California. Covered California California Land of Lincoln Health, Inc. (#1748) Illinois. Get Covered Illinois Illinois 2 LifeWise Health Plan of Oregon (#907) Oregon. Cover Oregon Oregon Lifewise Health Plan of. (#938) Healthplanfinder Louisiana Health Louisiana State Health New Cooperative (#1749) Louisiana Lovelace Health Plan (#130) New Mexico, plus Medicare Advantage in other states. New Mexico, plus Medicare Advantage in other states. New Mexico Maine Community Health Maine State Health Maine. Options (#1739) Maine McLaren Health Plan (#252). State Health MDWise (#662) Indiana. Indiana Health Insurance Indiana 2 Minnesota and adjacent counties in North Dakota, MNSure Minnesota 2 South Dakota; also. Medica Health Plans (#185) Minnesota and adjacent North Dakota State Health counties in North Dakota, South Dakota; also. North Dakota 2 Medical Mutual (#267) MercyCare Health Plans (#438) Meridian Health Plan of (#251) Meritus Health Partners (#1764) Minnesota and adjacent counties in North Dakota, South Dakota; also. Ohio plus Georgia, Indiana,, Pennsylvania, South Carolina, West Virginia... State Health Arizona State Health Arizona 2

9 Carrier Participation in Public Health s MetroPlus Health Plan, Inc. (#243) Moda Health Plan, Inc., fka The ODS Companies (#805) Molina Healthcare, Inc. (#1545) Montana Health CO-OP (#1746) MVP Health Care (#34) Name New York. New York State of Health New York Alaska, Oregon,. California, Florida,, New Mexico, Ohio, Texas, Utah,,. New New Hampshire, New York, Vermont, plus Medicare Advantage plans in other states. Alaska State Health Alaska 2 Cover Oregon Oregon Covered California California Florida State Health Florida State Health New Mexico Utah State Health Utah Healthplanfinder Montana State Health Montana New York State of Health New York Vermont Health Connect Vermont Neighborhood Health Plan Massachusetts. (#302) Neighborhood Health Plan of Rhode Island, Inc. (#526) Rhode Island. HealthSource RI Rhode Island Network Health Plan (#439). Nevada Health Co-Op (#1783) New Nevada Health Link Nevada 2 New Health Ventures, Inc. New (#1782) New Mexico. Connections (#1741) New Mexico North Shore-LIJ CareConnect (#1784) New New York State of Health New York Optima Health (#531) Virginia. Virginia State Health Virginia 2 Oregon s Health CO-OP (#1742) Oregon. Cover Oregon Oregon Oscar Health Insurance (#1785) New New York State of Health New York Your Health Idaho Idaho PacificSource Health Plans Montana State Health Oregon, Idaho, Montana. (#804) Montana Cover Oregon Oregon Paramount Care, Inc. (#255) Ohio,.

10 Carrier Participation in Public Health s Name Physicians Health Plan State Health. (#542) Physicians Health Plan of Indiana Health Insurance Northern Indiana, Inc. Indiana. (#537) Indiana 2 Physicians Plus Insurance. Corporation (#99) Piedmont Community Virginia State Health Virginia. Health Plan (#532) Virginia 2 PreferredOne (#186) Minnesota. MNSure Minnesota 2 Premera Blue Cross (#75) Alaska,. Alaska State Health Alaska 2 Healthplanfinder Presbyterian Health Arizona,, New Plan/Presbyterian Mexico, Texas. Insurance Company (#372) New Mexico Priority Health (#545). State Health Providence Health Plan (#67) Alaska, Oregon,. Cover Oregon Oregon QCA Health Plan, Inc. (#356) Arkansas. Arkansas Health Arkansas 2 Rocky Mountain Health. Plans (#53) Saint Mary's Health Plans (#492) Nevada. Nevada Health Link Nevada 2 Iowa Health Benefit Iowa Sanford Health Plan (#354) Iowa, Minnesota, North North Dakota State Health Dakota, South Dakota. North Dakota 2 South Dakota State Health South Dakota Santa Clara County dba Valley Health Plan (#570) California. Covered California California Security Health Plan of., Inc. (#487) Utah, Idaho. Your Health Idaho Idaho Avenue H SelectHealth (#69) Utah State Health Utah Sharp Health Plan (#141) California. Covered California California SummaCare Health Plan, Ohio, Maryland, Tennessee, Inc. (#199) Vermont, Virginia. Total Health Care, Inc. State Health. (#193) Trillium Community Health Plan (#1236) Oregon. Cover Oregon Oregon Tufts Associated Health Massachusetts, New Plans, Inc. (#172) Hampshire, Rhode Island. UCare (#208) Minnesota,. MNSure Minnesota 2 UnitedHealthcare (#1263) Nationwide. Alabama State Health Alabama 2

11 Carrier Participation in Public Health s Unity Health Insurance (#491) Universal American Corporation-MA Division (#617) University of Arizona Health Plans (#1763) UPMC Health Plan, Inc. (#213) Vantage Health Plan, Inc. (#351) WellPoint, Inc. (#1264) Western Health Advantage (#157). Nationwide. Pennsylvania. Also has members in other states and in the Virgin Islands and Canada. Louisiana. Nationwide. Blue Cross or Blue Shield licensee in the following states: California,, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and. Name Arkansas Health Arkansas Access Health CT Connecticut D.C. Health Link District of Columbia Kynect Kentucky 2 Maryland Health Connection Maryland State Health Nevada Health Link Nevada 2 New York State of Health New York HealthSource RI Rhode Island Avenue H Utah New York State of Health New York Oklahoma State Health Arizona State Health Pennsylvania State Health Oklahoma 2 Arizona 2 Pennsylvania 2 Louisiana State Health Louisiana Covered California California Access Health CT Connecticut Georgia State Health Georgia 2 Indiana Health Insurance Indiana 2 Kynect Kentucky 2 Maine State Health Maine Missouri State Health Missouri 2 Nevada Health Link Nevada 2 New Hampshire State Health New Hampshire New York State of Health New York Virginia State Health Virginia 2 California. Covered California California

12 Carrier Participation in Public Health s Name Wyoming State Health WINhealth Partners (#300) Wyoming. Wyoming 2 1 The insurer's unique identifier used in AIS's Directory of Health Plans database files. AIS s Health s database CD links all health insurer records to AIS s Directory of Health Plans CD. See or call (800) for more information. 2 Participating plan list for this state s exchange may be incomplete; was not approved as of press time. It is unknown for this state which plans may participate in the individual vs. exchanges. 3 Mississippi has applied to operate a marketplace in As of press time, formal HHS approval had not yet been issued. SOURCE: Excerpted from AIS s Health Directory and Factbook. About the Book AIS s Health Directory and Factbook: A Guide to Implementation and Stakeholder Strategies, offers thorough insight and comparative data on insurer participation on the new public exchanges. This brand new AIS resource, from the team that brought you AIS s Directory of Health Plans, chronicles the decision-making process health insurers have gone through over the past several months as they negotiated with public exchanges to offer new products in new markets on both individual and exchanges. It details competitive strategies for this brand new marketplace and profiles specific companies as they come to terms with the challenges and opportunities presented by the new law. A CD version is also available offering convenient spreadsheets with Directories of exchange personnel and contacts, plan offerings and premiums, and links exchange products with their corresponding records in AIS s Directory of Health Plans, the industry s leading health plan enrollment and market share database. The CD version includes a print copy of the book along with the CD. Go to for more details and to save $65 on your order today. Table of Contents for Print Version AIS s Health Directory and Factbook Introduction to s How it Works About this Book Chapter 1. Road to Implementation Regulations, Guidance and Controversies Mandate Employer Mandate Medicaid Expansion Guidance on Partnerships and Federally Facilitated s Funding and Budget Issues Rate-Review Thresholds Multistate Plans Calendar of -Related ACA Implementation Milestones, Deadlines and Regulatory Releases Delays and Contingencies Insurance Industry Input and Legislative Initiatives Pre-Existing Condition Insurance Plans and Results

13 Chapter 2. Technological Infrastructure and Human Resources Implementation Resources and Challenges Federal Data Services Hub All-Payer Claims Databases Vendor Challenges and Selections IT Challenges for Payers Staffing Requirements and Plans Eligibility Verification Security Concerns and HHS Guidance Chapter 3. Consumer Support Tools and Resources Decision-Support Tools Navigators and In-Person Assistants Virtual Assistants Chapter 4. Essential Health Benefits Regulations and Reactions Benchmark Plan Criteria and Selection Process Essential Health Benefit Benchmark Plans Potential Impact on Premiums Ancillary Products/Specialty Benefits Chapter 5. State-by-State Strategies and Decisions State-Level Evolution Process A state-by-state guide to each exchange s formation and decisions Chapter 6. Federally Facilitated s Application Design Federal Subsidies/Premium Tax Credit State Communications and Data Flow Administration Progress Reports Chapter 7. ing Initiatives and Responsibilities Public Education Efforts Outreach to Uninsured Advertising Controversies Partnerships, Outsourcing and Web-Based Entities Chapter 8. Insurer Perspectives on Public s -- edited, with questions Preparation Time Crunch Carrier Participation Decisions QHP Accreditation and Certification Operating Costs and User Fees Adverse Selection and Risk Corridors Premium Rates and Profits CO-Ops and Competition Protection Rules Chapter 9. Benefit Design in the Era Defined-Contribution Plan Designs Actuarial Value and Metal Tiers Narrow Networks and Other Network Design Strategies High Deductible Health Plans Chapter 10. Pharmacy Benefits and s Essential Health Benefits for Pharmacy State Benchmark Plans for Drug Benefits Health Plan Strategies for Pharmacy Benefit PBM Opportunities and Initiatives Chapter 11. Selling Products on s Branding and Rebranding

14 ing to Consumers Studies on Consumer Behavior Chapter 12. Challenges and Opportunities for Employers Employer Mandate in ACA Self-Insuring Yes or No Stop-Loss Insurance Initiatives in Public s Union Initiatives and Taft-Hartley Plans Chapter 13. Private Models Impact on Private Insurance Multi-Carrier and Single Carrier s Multi-Carrier Private s Single-Carrier Private s Chapter 14. Impact of Proliferation Caveats and Concerns of Stakeholders Churn and Medicaid Impact on Private Insurance Impact on Insurance Agents and Brokers Impact on Business and Labor Chapter 15. Directories of s Directory of Public s Directory of Private s Chapter 16. Directories of Professionals, Appointees and Experts Directory of Center for Consumer Information and Insurance Oversight Personnel Directory of Regional Administrators for the Center for Consumer Information and Insurance Oversight Directory of State Board Members Directory of Professionals in the Industry Chapter 17. Directories of Vendors and Platforms Directory of Vendors Directory of Platform Providers Appendix: Glossary of Terms Table of Contents for CD Version AIS s Health Directory and Factbook (Your order for the CD Version includes a print copy of the book) Data on Public Participation by Carriers State s Premium Rate Data PDFs of original rate publications from states, as well as special spreadsheets of data entered for 40-year-old nonsmoker by region, by state, for individual and exchanges Uninsured Eligibles by State Monthly Pre-Existing Condition Insurance Plan Enrollment State-by-State State Medicaid Expansion Status State Establishment Grant Awards Navigator Grant Awards EHB Benchmark Plans EHB Benchmark Plan Prescription Drug Coverage Regulations and Guidances on s full PDFs of government documents from HHS, CMS, OPM, and IRS Sample Applications for FFEs Directory of Public s Directory of Private s Directory of Vendors Directory of CO-Ops Directory of Experts Directory of State Insurance Commissioners

15 Directory of Regional Administrators Directory of State Board Members Directory of CMS Personnel Order Today and Save $65: AIS s Health s Directory and Factbook: A Guide to Implementation and Stakeholder Strategies is the definitive health industry guide to health insurance exchange implementation and stakeholder strategies, with in-depth coverage of every big-dollar business issue related to the new marketplaces including technological infrastructure, consumer support tools, benefit design, marketing, FFEs and much more. This valuable resource also contains practical summaries of exchange regulations and controversies, plus three unique directories: exchanges by type, exchange professionals, appointees and experts, and exchange vendors. The CD edition contains all these directories in Excel, mailing lists and much, much more. Three Easy Ways to Order: 1. Visit 2. Print an order form to fax or mail to AIS. Use Pubcode GHEX1-E3FR71 3. Call toll-free (800) and mention Discount Code GHEX1-E3FR71.