CMS Releases List of Largest Health Plan Options by State

CMS and its Center for Consumer Information and Insurance Oversight have released a document that lists the three largest health plans by enrollment in each state.

CMS and CCIIO created the document to provide a better understanding on essential health benefits under the Patient Protection and Affordable Care Act. States will choose an existing health plan to set the benchmark for the items and service within the EHB package. When health insurance exchanges go live in 2014, non-grandfathered health plans in the individual and small group markets must cover those EHBs.


Benchmarks for EHBs can be the largest plans by enrollment within the small group insurance market, the largest state employee health benefits by enrollment, the largest federal employee health plans or the largest commercial non-Medicaid HMO in the state.

The full state-by-state list of health plans can be found here (pdf).

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