Getting Clarity on Transparency: What Health Plan Sponsors Need to Know about Publishing Machine-Readable Files - Bim Group

Getting Clarity on Transparency: What Health Plan Sponsors Need to Know about Publishing Machine-Readable Files

As of July 1, 2022, group health plans must clear one of the first major compliance hurdles required by the Affordable Care Act’s (ACA) Transparency in Coverage (TiC) Final Rules. By that date, plans and insurance carriers must have prepared and posted two machine-readable files (MRFs) to a public website.

There is still some confusion surrounding the MRF requirement, so the information below is designed to provide actionable steps for plan sponsors to understand their transparency obligations as they cope with the new TiC disclosure requirement.

Fully Insured Employers:

See below for links to Anthem, Humana and UHC information confirming that they are fulfilling this obligation for their employer groups.

Self-Insured Employers:

See below for links to Anthem, Humana and UHC / UMR information confirming that they are fulfilling this obligation for their employer groups.  Employers with self-funded medical plans are required to post the MRF link to their public facing website (additional step for self-insured employers only).  Your Account Executive has or will be reaching out to you with additional Bim guidance on how to ensure the carrier-provided link is posted to your public website.

Carrier Links

  • UHC     (See Page 17)
  • Anthem  (Email to Employers from 5/26)
  • Humana    (See Page 4)

Carrier Machine Readable File Links

(Not active until 7/1/2022) 

 

Click here for a Transparency in Coverage Compliance Guide.

Please reach out to your Account Executive / Manager with additional questions.

 

 

 

 

 

 

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