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Bronze 60 HDHP HMOIndividual & Family Plan /Combined Evidence of Coverage and Disclosure Form DMHC Approval Date 09/19/2022 Bronze 60 HDHP HMOEOC23IFPON B60 HDHPCH.docx
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The Summary of Benefits Bronze is a document that provides an overview of a health insurance plan's coverage, costs, and benefits, specifically for bronze-level plans which typically offer lower premiums and higher out-of-pocket costs.
Health insurance issuers offering bronze-level plans and group health plans must file the Summary of Benefits Bronze.
To fill out the Summary of Benefits Bronze, insurers must adhere to federal guidelines by providing specific information such as coverage details, cost-sharing, and limitations for the bronze plan, using the designated template.
The purpose of the Summary of Benefits Bronze is to help consumers understand their health insurance options, comparing different plans, and making informed choices regarding their coverage.
The Summary of Benefits Bronze must report details such as premium costs, deductible amounts, copayment and coinsurance rates, benefits covered, and any limitations or exclusions.
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