Sec. 14.35.18.06. Coverage Models

Latest version.

A. Employer Choice Model Requirements. A qualified employer may elect to make available to qualified employees a choice of qualified health plans offered through the SHOP Exchange by:

(1) A single issuer across all available coverage levels; or

(2) One or more qualified health plans offered by a single issuer.

B. Employee Choice Model Requirements. A qualified employer may select two consecutive metal levels of coverage, and employees may choose any SHOP plan across all the insurance companies that offer plans at those metal levels.

                    
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