March 22, 2016
Effective Jan. 1, 2017, Vermont will have a new benchmark plan. As a reminder, benchmark plans are important when determining what services and items are required to be provided as essential health benefits (EHB). Non-grandfathered fully insured small group plans must match the state identified benchmark plan’s EHB.
Self-insured and large group insured plans are not required to provide EHB, but when determining which benefits cannot have annual or lifetime dollar limits applied, it is important for the plans to identify EHB. Thus, for administration purposes, many self-insured and large group plans will identify a state benchmark plan to match its EHB.
The new benchmark plan name will be Silver CDHP Plan and it will replace BlueCare, which is also from The Vermont Health Plan. Some of the changes include:
2017 Benchmark Plan »