Health Care Reform Insurance Web Portal and Supporting Authority Contained in Sections 1103 and 10102 of The Patient Protection and Affordability Care Act, P.L. 111-148 (PPACA)
RBIS_SG_Product_Availability_Template_v1
OMB: 0938-1086
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1086 can be found here: