Namara Marketplace

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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