Required Group Health Plan Information

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Required Group Health Plan Information

Health Plan Machine Readable Files

Wellmark creates and publishes machine-readable files on behalf of Johnson Feed, Inc. To link to the files, please click on the URL provided:

https://web.healthsparq.com/app/public/#/one/insurerCode=WMRK_I&brandCode=WELLMARK&productCode=MRF/machine-readable-transparency-in-coverage?searchTerm=460325358&lock=True

No Surprises Act

The No Surprises Act, which is part of the Consolidated Appropriations Act (CAA) requires all insurers and employer group health plans (fully insured and self-funded) to post a notice of member rights regarding surprise bills (Section 116). The notice outlines the requirements and prohibitions of a provider or facility under the law, and information on contacting appropriate state and federal agencies in situations where a member feels a provider or facility has violated the No Surprises Act.

Read the Notice Here

Wellmark’s Pricing Tool Comparison

Beginning in 2023, the Consolidated Appropriations Act (CAA) and the Transparency in Coverage Final Rule (TiC Final Rule) require a new pricing comparison tool to be made available to assist plan participants in obtaining advanced cost estimates for 500 items and services based on a plan participant’s actual coverage. Read the notice to learn how to access it.

Read the Notice Here

 
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