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Overview of Commonwealth Health Insurance Connector Authority's Seal of Approval Process & Timeline

The Commonwealth Health Insurance Connector Authority's meeting on February 25, 2010, focused on the Seal of Approval (SoA) process aimed at streamlining health insurance products. Key goals include maintaining a simplified product structure, minimizing disruption for carriers, promoting participation in Care and Choice programs, and establishing standards for new entrants characterized by value. Rules stipulate that selected carriers must engage in all product tiers and Connector programs. The timeline for implementation and outreach strategies were also discussed to ensure a smooth transition for small businesses and employers.

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Overview of Commonwealth Health Insurance Connector Authority's Seal of Approval Process & Timeline

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  1. Commonwealth Health Insurance Connector Authority2011 Seal of Approval (SoA) Process & Timeline Board of Director’s MeetingFebruary 25, 2010

  2. Agenda • SoA goals • Rules and procedures • Timeline and next steps

  3. SoA Goals • Maintain simplified product structure • Minimize carrier disruption and administrative burden • Encourage carriers to participate in both Care and Choice • Setting standards for new entrants: importance of “value” in awarding SOA to new carriers

  4. SoA Goals • Business Express/Transition of SBSB accounts • Work with carriers and SBSB to outreach employers and promote smooth product transitions • Consider market preferences, particularly for small businesses—but use existing and previously qualified SOA products as much as possible, not new ones

  5. Rules and Procedures • Approach largely consistent with prior SoA procurements; if selected: • Must participate in all product tiers (e.g., Gold, Silver, Bronze, YAP) • Must participate in all Connector programs (e.g., non-group, Voluntary Plan, Business Express)

  6. Rules and Procedures • A few possible changes: • Two tiered RFR approach • If a carrier decides to offer a Select network product, must also offer Broad network product

  7. Timeline and Next Steps

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