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Transparency of Coverage Notice – Machine-Readable Files
Under the Patient Protection and Affordable Care Act (ACA), non-grandfathered group medical plans and health insurers are required to provide cost information in three machine-readable files. The following plans are not required to provide this information: (1) grandfathered plans, (2) excepted benefits such as stand-alone dental and vision benefits and most EAPs, (3) account-based plans such as Health Reimbursement Arrangements, Health Savings Accounts, and health Flexible Spending Accounts, (4) retiree only plans (fewer than two participants who are current employees), (5) expatriate plans, and (6) short-term, limited duration insurance.
In fulfillment of this requirement, below are links to both the P32H and AH websites containing the required machine-readable files:
HPHC - https://www.harvardpilgrim.org/public/machine-readable-files
Allways Health - https://www.allwayshealthpartners.org/meet-us/transparency-regulations
These files contain the following required information: