Current Activity |

Areas of Focus

 

 

Plan Management

• Essential Health Benefits
• Basic Health Plan
• Qualified Health Plans
  • QHP Certification criteria
  • CT Insurance Department rate review and approval process
  • Cost sharing at each plan level
  • Plan design options
  • Number and types of QHPs to offer in the individual and SHOP Exchanges
  • Pediatric Dental Benefits
  • Criteria used to solicit and evaluate QHPs

 

SHOP Exchange

• Employee choice purchasing models
• Participation and contribution requirements
• Expanding the small group market to 100 prior to 2016
• Merging individual and small group markets

 

Brokers, Agents and Navigators

• Roles of Brokers, Agents and Navigators in the Exchange
• Qualifications and licensure standards
• Training requirements
• Evaluation and monitoring program for Navigators and Brokers/Agents

 

Consumer Assistance

 

 

Consumer Outreach

• Marketing and outreach strategy
• Evaluation and monitoring consumer outreach program

 

 

Tribal Nations Consultation

 

 

Business Operations

 

 

IT Systems

 

 

Financial Management