Namara Marketplace

Business Rules PUF - 2018

Businessyear

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Statecode

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Issuerid

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Sourcename

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Importdate

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Tin

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Productid

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Standardcomponentid

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Enrolleecontractratedeterminationrule

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Twoparentfamilymaxdependentsrule

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Singleparentfamilymaxdependentsrule

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Dependentmaximumagrule

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Childrenonlycontractmaxchildrenrule

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Domesticpartnerasspouseindicator

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Samesexpartnerasspouseindicator

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Agedeterminationrule

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Minimumtobaccofreemonthsrule

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Cohabitationrule

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Marketcoverage

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Dentalonlyplan

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2018
AK
38344
HIOS
2017-11-01 02:20:20
91-0499247
38344AK054
38344AK0540003
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
6
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Guardian,No;Court Appointed Guardian,No;Life Partner,No
Individual
f
2018
AK
38344
HIOS
2017-11-01 02:20:20
91-0499247
38344AK054
38344AK0540006
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
6
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Guardian,No;Court Appointed Guardian,No;Life Partner,No
Individual
f
2018
AK
38344
HIOS
2017-11-01 02:20:20
91-0499247
38344AK054
38344AK0540008
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
6
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Guardian,No;Court Appointed Guardian,No;Life Partner,No
Individual
f
2018
AK
38344
HIOS
2017-11-01 02:20:20
91-0499247
38344AK054
38344AK0540009
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
6
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Guardian,No;Court Appointed Guardian,No;Life Partner,No
Individual
f
2018
AK
38344
HIOS
2017-11-01 02:20:20
91-0499247
38344AK054
38344AK0540010
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
6
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Guardian,No;Court Appointed Guardian,No;Life Partner,No
Individual
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700001
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700002
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700003
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700004
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700006
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700007
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700008
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK070
73836AK0700009
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710002
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710003
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710004
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710006
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710007
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710008
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710015
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710016
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710017
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK071
73836AK0710018
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK081
73836AK0810001
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK081
73836AK0810002
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK082
73836AK0820001
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK082
73836AK0820002
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK082
73836AK0820003
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK082
73836AK0820004
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK088
73836AK0880001
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK088
73836AK0880002
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK088
73836AK0880003
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
73836
HIOS
2017-09-02 02:21:27
93-0989307
73836AK088
73836AK0880004
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
SHOP (Small Group)
f
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK001
74819AK0010007
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
SHOP (Small Group)
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK001
74819AK0010008
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
SHOP (Small Group)
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK001
74819AK0010009
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
SHOP (Small Group)
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK001
74819AK0010010
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
SHOP (Small Group)
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK001
74819AK0010011
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
SHOP (Small Group)
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK001
74819AK0010012
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
SHOP (Small Group)
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK002
74819AK0020003
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
Individual
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK002
74819AK0020004
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
Individual
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK002
74819AK0020005
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
Individual
t
2018
AK
74819
HIOS
2017-08-08 02:20:26
95-6042390
74819AK002
74819AK0020006
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Adopted Child,No;Foster Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Court Appointed Guardian,Yes;Life Partner,Yes
Individual
t
2018
AL
44580
HIOS
2017-08-08 02:20:26
39-1263473
44580AL038
44580AL0380001
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Nephew or Niece,No;Adopted Child,No;Foster Child,No;Brother or Sister,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
Individual
t
2018
AL
44580
HIOS
2017-08-08 02:20:26
39-1263473
44580AL038
44580AL0380002
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
t
t
Age on effective date
Not Applicable
Spouse,No;Grandson or Granddaughter,No;Nephew or Niece,No;Adopted Child,No;Foster Child,No;Brother or Sister,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
Individual
t
2018
AR
70525
SERFF
2018-07-19 13:59:22
71-0794605
70525AR007
70525AR0070001
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
f
f
Age on effective date
6
Spouse,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No
Individual
f
2018
AR
70525
SERFF
2018-07-19 13:59:22
71-0794605
70525AR007
70525AR0070003
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
f
f
Age on effective date
6
Spouse,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No
Individual
f
2018
AR
70525
SERFF
2018-07-19 13:59:22
71-0794605
70525AR007
70525AR0070004
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
f
f
Age on effective date
6
Spouse,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No
Individual
f
2018
AR
70525
SERFF
2018-07-19 13:59:22
71-0794605
70525AR007
70525AR0070006
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
f
f
Age on effective date
6
Spouse,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No
Individual
f
2018
AR
70525
SERFF
2018-07-19 13:59:22
71-0794605
70525AR007
70525AR0070050
A different rate (specifically for parties of two or more)for each enrollee is added together
3 or more
3 or more
25
3 or more
f
f
Age on effective date
6
Spouse,No;Adopted Child,No;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No
Individual
f

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