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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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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 | failed_conversion |