Bill - HR3200
This Document was obtained from The Library of Congress Thomas System as of July 14th, 2009PREMIUM PLAN; PREMIUM-PLUS PLAN- The terms premium plan and premium-plus plan have the meanings given such terms in section 203[c]
PREMIUM PLAN- A premium plan shall offer, in addition to the level of benefits under the basic plan, a lower level of cost-sharing as provided under title I consistent with section 123(b)(5)(B).
LEVELS OF COST-SHARING FOR ENHANCED AND PREMIUM PLANS-
PREMIUM PLAN- The level of cost-sharing for premium plans shall be designed so that such plans have benefits that are actuarially equivalent to approximately 95 percent of the actuarial value of the benefits provided under the reference benefits package described in section 122(c)(3)(B).
MINIMUM ACTUARIAL VALUE-
REFERENCE BENEFITS PACKAGE DESCRIBED- The reference benefits package described in this subparagraph is the essential benefits package if there were no cost-sharing imposed.
PREMIUM-PLUS PLAN- A premium-plus plan is a premium plan that also provides additional benefits, such as adult oral health and vision care, approved by the Commissioner. The portion of the premium that is attributable to such additional benefits shall be separately specified.