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CMS-10448 Summary of Benefits Template
Essential Health Benefits Benchmark Plans (CMS-10448)
AppC-EHB-BM-2019-BenefSumm-508
EHB Reporting - EHB Actuarial Certificate Template
OMB: 0938-1174
OMB.report
HHS/CMS
OMB 0938-1174
ICR 202311-0938-014
IC 229047
CMS-10448 Summary of Benefits Template
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1174 can be found here:
2024-08-09 - Reinstatement with change of a previously approved collection
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