The California Health Benefit Exchange board is standardizing the co-payment amounts, coinsurance percentages and other plan design features in all new individual and small-group health policies sold in the state.
The federal Patient Protection and Affordable Care Act of 2010 (PPACA) already requires all non-grandfathered, insured individual and small-group plans to cover the services included in a state's standardized "essential health benefits" (EHB) package starting Jan. 1, 2014.
If PPACA works as drafters expect, insurers will have to sell plans at four "metal levels" — bronze, silver, gold and platinum — based on the percentage of the actuarial value of the EHB package that the plan covers.
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