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Non-Standardized Plan Option Limit Exceptions Justification Form and Actuarial Memorandum

ICR 202404-0938-012 · OMB 0938-1461 · Object 141857802.

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File Typeapplication/octet-stream
File TitleNon-Standardized Plan Option Limit Exceptions Justification Form and Actuarial Memorandum
Subjectbenefits, out-of-pocket limits, deductibles, Plans and Benefits Template, cost sharing, healthcare, insurance
AuthorCenters for Medicare & Medicaid Services (CMS)
File Modified2024-05-03
File Created2024-03-25
Conversion Statecomplete