Document
Non-Standardized Plan Option Limit Exceptions Justification Form and Actuarial Memorandum
ICR 202404-0938-012 · OMB 0938-1461 · Object 141857802.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Non-Standardized Plan Option Limit Exceptions Justification Form and Actuarial Memorandum |
| Subject | benefits, out-of-pocket limits, deductibles, Plans and Benefits Template, cost sharing, healthcare, insurance |
| Author | Centers for Medicare & Medicaid Services (CMS) |
| File Modified | 2024-05-03 |
| File Created | 2024-03-25 |
| Conversion State | complete |