Benefits compliance: Group health plans transparency reporting

To improve competition and the cost of healthcare, the Transparency in Coverage regulations require group health plans and health insurance issuers to disclose on a public website the following information in three separate machine-readable files:

  • In-network provider rates for covered items and services
  • Out-of-network allowed amounts and billed charges for covered items and services
  • Negotiated rates and historical net prices for covered prescription drugs in three separate machine-readable files

Click on the links below to review the detailed information regarding our self-insured plans. These files are not designed as a consumer tool.  These files are not a guarantee of coverage or a guarantee of the reimbursement rate that will be applied for any procedure.