Namara Marketplace
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Business Rules PUF
|
Business Year
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State Code
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Issuer Id
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Source Name
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Version Number
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Import Date
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Issuer Id (Repeated)
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Tax Identification Number
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Product Id
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Standard Component Id
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Enrollee Contract Rate Determination Rule
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Two Parent Family Max Dependents Rule
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Single Parent Family Max Dependents Rule
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Dependent Maximum Age Rule
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Children Only Contract Max Children Rule
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Domestic Partner As Spouse Indicator
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Same Sex Partner As Spouse Indicator
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Age Determination Rule
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Minimum Tobacco Free Months Rule
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Cohabitation Rule
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Row Number
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Market Coverage
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Dental-Only Plan Indicator
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
2015
|
AK
|
21989
|
HIOS
|
4
|
2014-08-08 08:53:29
|
21989
|
93-0438772
|
21989AK003
|
21989AK0030001
|
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,Yes;Ward,No;Stepson or Stepdaughter,No;Self,Yes;Child,No;Dependent on a Minor Dependent,No;Life Partner,No
|
10
|
Individual
|
t
|
|
2015
|
AK
|
38536
|
HIOS
|
4
|
2014-09-04 03:25:43
|
38536
|
35-0472300
|
38536AK001
|
38536AK0010005
|
There are rates specifically for couples and for families (not just addition of individual rates)
|
3 or more
|
3 or more
|
30
|
1
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Grandson or Granddaughter,Yes;Adopted Child,No;Foster Child,Yes;Ward,No;Stepson or Stepdaughter,Yes;Self,Yes;Child,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
38536
|
HIOS
|
4
|
2014-09-04 03:25:43
|
38536
|
35-0472300
|
38536AK001
|
38536AK0010004
|
There are rates specifically for couples and for families (not just addition of individual rates)
|
3 or more
|
3 or more
|
30
|
1
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Grandson or Granddaughter,Yes;Adopted Child,No;Foster Child,Yes;Ward,No;Stepson or Stepdaughter,Yes;Self,Yes;Child,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
38536
|
HIOS
|
4
|
2014-09-04 03:25:43
|
38536
|
35-0472300
|
38536AK001
|
38536AK0010002
|
There are rates specifically for couples and for families (not just addition of individual rates)
|
3 or more
|
3 or more
|
30
|
1
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Grandson or Granddaughter,Yes;Adopted Child,No;Foster Child,Yes;Ward,No;Stepson or Stepdaughter,Yes;Self,Yes;Child,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
38536
|
HIOS
|
4
|
2014-09-04 03:25:43
|
38536
|
35-0472300
|
38536AK001
|
38536AK0010001
|
There are rates specifically for couples and for families (not just addition of individual rates)
|
3 or more
|
3 or more
|
30
|
1
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Grandson or Granddaughter,Yes;Adopted Child,No;Foster Child,Yes;Ward,No;Stepson or Stepdaughter,Yes;Self,Yes;Child,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
24
|
Individual
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
23
|
Individual
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
22
|
Individual
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
21
|
Individual
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
95-6042390
|
74819AK002
|
74819AK0020002
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
20
|
Individual
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
95-6042390
|
74819AK002
|
74819AK0020001
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
19
|
Individual
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
18
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
17
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
16
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
15
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
14
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
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;Life Partner,No;Other Relationship,No
|
13
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
95-6042390
|
74819AK001
|
74819AK0010002
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
12
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
74819
|
HIOS
|
4
|
2014-09-03 04:28:59
|
74819
|
95-6042390
|
74819AK001
|
74819AK0010001
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
11
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
81761
|
HIOS
|
2
|
2014-08-07 10:00:19
|
81761
|
36-0883760
|
81761AK004
|
81761AK0040002
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
21
|
3 or more
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Adopted Child,No;Stepson or Stepdaughter,No;Child,No;Sponsored Dependent,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
81761
|
HIOS
|
2
|
2014-08-07 10:00:19
|
81761
|
36-0883760
|
81761AK004
|
81761AK0040001
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
21
|
3 or more
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Adopted Child,No;Stepson or Stepdaughter,No;Child,No;Sponsored Dependent,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
81761
|
HIOS
|
2
|
2014-08-07 10:00:19
|
81761
|
36-0883760
|
81761AK003
|
81761AK0030002
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
21
|
3 or more
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Adopted Child,No;Stepson or Stepdaughter,No;Child,No;Sponsored Dependent,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
81761
|
HIOS
|
2
|
2014-08-07 10:00:19
|
81761
|
36-0883760
|
81761AK003
|
81761AK0030001
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
21
|
3 or more
|
t
|
t
|
Age on effective date
|
Not Applicable
|
Spouse,No;Adopted Child,No;Stepson or Stepdaughter,No;Child,No;Sponsored Dependent,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
84394
|
HIOS
|
2
|
2014-08-08 08:53:29
|
84394
|
42-0127290
|
84394AK005
|
84394AK0050002
|
There are rates specifically for couples and for families (not just addition of individual rates)
|
3 or more
|
3 or more
|
25
|
1
|
t
|
t
|
Age on insurance date (age on birthday nearest the effective date)
|
Not Applicable
|
Spouse,No;Adopted Child,No;Foster Child,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,No;Child,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
84394
|
HIOS
|
2
|
2014-08-08 08:53:29
|
84394
|
42-0127290
|
84394AK005
|
84394AK0050001
|
There are rates specifically for couples and for families (not just addition of individual rates)
|
3 or more
|
3 or more
|
25
|
1
|
t
|
t
|
Age on insurance date (age on birthday nearest the effective date)
|
Not Applicable
|
Spouse,No;Adopted Child,No;Foster Child,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,No;Child,No;Life Partner,No
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
96211
|
HIOS
|
3
|
2014-09-03 04:28:59
|
96211
|
44-0308260
|
96211AK001
|
96211AK0010006
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
96211
|
HIOS
|
3
|
2014-09-03 04:28:59
|
96211
|
44-0308260
|
96211AK001
|
96211AK0010005
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
96211
|
HIOS
|
3
|
2014-09-03 04:28:59
|
96211
|
44-0308260
|
96211AK001
|
96211AK0010002
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AK
|
96211
|
HIOS
|
3
|
2014-09-03 04:28:59
|
96211
|
44-0308260
|
96211AK001
|
96211AK0010001
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL002
|
12538AL0020006
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
24
|
Individual
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL002
|
12538AL0020005
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
23
|
Individual
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL002
|
12538AL0020004
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
22
|
Individual
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL002
|
12538AL0020003
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
21
|
Individual
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL002
|
12538AL0020002
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
20
|
Individual
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL002
|
12538AL0020001
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
19
|
Individual
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010012
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
18
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010011
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
17
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010010
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
16
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010009
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
15
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010008
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
14
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010007
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
26
|
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;Life Partner,No;Other Relationship,No
|
13
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010002
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
12
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
12538
|
HIOS
|
5
|
2014-10-02 12:25:15
|
12538
|
95-6042390
|
12538AL001
|
12538AL0010001
|
A different rate (specifically for parties of two or more)for each enrollee is added together
|
3 or more
|
3 or more
|
Not Applicable
|
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;Life Partner,No;Other Relationship,No
|
11
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
24682
|
HIOS
|
2
|
2014-08-07 10:00:19
|
24682
|
44-0308260
|
24682AL001
|
24682AL0010008
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
24682
|
HIOS
|
2
|
2014-08-07 10:00:19
|
24682
|
44-0308260
|
24682AL001
|
24682AL0010007
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
24682
|
HIOS
|
2
|
2014-08-07 10:00:19
|
24682
|
44-0308260
|
24682AL001
|
24682AL0010006
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
24682
|
HIOS
|
2
|
2014-08-07 10:00:19
|
24682
|
44-0308260
|
24682AL001
|
24682AL0010005
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
24682
|
HIOS
|
2
|
2014-08-07 10:00:19
|
24682
|
44-0308260
|
24682AL001
|
24682AL0010004
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
24682
|
HIOS
|
2
|
2014-08-07 10:00:19
|
24682
|
44-0308260
|
24682AL001
|
24682AL0010003
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
|
2015
|
AL
|
24682
|
HIOS
|
2
|
2014-08-07 10:00:19
|
24682
|
44-0308260
|
24682AL001
|
24682AL0010002
|
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,Yes;Ward,Yes;Stepson or Stepdaughter,No;Self,Yes;Child,No;Life Partner,Yes
|
10
|
SHOP (Small Group)
|
t
|
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