Metal Tier definition

Metal Tier means a category of health plan— Catastrophic (Minimum Coverage). Bronze, Silver, Gold, Platinum — based on the percentage the plan pays of the average overall cost of providing essential health benefits to members. Catastrophic or Minimum Coverage does not cover any benefits other than three primary care visits per year before the deductible is met. The percentages the plans will spend, on average, are 60% (Bronze), 70% (Silver), 80% (Gold), and 90% (Platinum).
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Metal Tier means a level of coverage described in paragraph 1.26.
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Metal Tier means the level of coverage, in relation to actuarial value, as defined by the ACA and the US Department of Health and Human Services (HHS).
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Examples of Metal Tier in a sentence

  • Step 1: Set Metal Tier The user enters the desired metal tier for the calculation, and the AV Calculator selects the corresponding continuance tables for use in all remaining steps of the calculation.

  • To ensure that the correct continuance table is used for these plans, the Desired Metal Tier depends on the AV level of the variation.

  • Step 9: Calculate AV and Corresponding Metal Tier In the final step, the AV Calculator computes the final AV amount, classifies the plan by metal tier, and determines whether the metal tier matches the desired metal tier input by the user.

  • The Desired Metal Tier must be set to Bronze for expanded bronze plans.

  • Metal TierThe Level of Coverage selected for the plan in the Plans & Benefits Template is mapped to the Desired Metal Tier in the AVC.

  • Note that such adjustments may vary at the plan level and by Metal Tier, but not by rating region.

  • Administrative Expense and Profit values may not vary by plan level, Metal Tier, or rating region.

  • The three options are Issuer Bundle, Metal Tier Bundle, and Single Plan option.

  • The Desired Metal Tier for silver plan variances is set equal to Silver for the 73 percent variation, Gold for the 87 percent variation, and Platinum for the 94 percent variation.

  • Percent Change in Average Marketplace Premiums by Metal Tier, 2018-2023.

Related to Metal Tier

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  • Risk Transfer Date means the date when the risk of loss or damage to the Works passes from the Contractor to the Employer in accordance with sub Clauses 38.2 and 39.1.

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  • Retail Certificates A Senior Certificate, if any, offered in smaller minimum denominations than other Senior Certificates, and designated as such in the Series Supplement.

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  • Converting entity means the domestic entity that approves a plan of conversion pursuant to Section 33‑43‑1143 or the foreign entity that approves a conversion pursuant to the law of its jurisdiction of formation.

  • Uncertificated Lower-Tier Interests Any of the Class LA1, Class LA2, Class LA3, Class LA4, Class LA5, Class LASB, Class LAS, Class LB, Class LC, Class LD, Class LE, Class LF and Class LNR Uncertificated Interests.

  • Purchase Contract Settlement Date means [ ].

  • Treasury Portfolio Purchase Price means the lowest aggregate price quoted by a primary U.S. government securities dealer in New York City (a "Primary Treasury Dealer") to the Quotation Agent on the third Business Day immediately preceding the Tax Event Redemption Date for the purchase of the Treasury Portfolio for settlement on the Tax Event Redemption Date.

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  • Average Invested Assets means, for a specified period, the average of the aggregate book value of the assets of the Company invested, directly or indirectly, in Properties, Loans and other Permitted Investments secured by real estate before reserves for depreciation or bad debts or other similar non-cash reserves, computed by taking the average of such values at the end of each month during such period.

  • TAFR LLC means Toyota Auto Finance Receivables LLC, a Delaware limited liability company, or its successors.

  • Lower Tier Interest As described in the Preliminary Statement.

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  • Class R-IV Interest The uncertificated Residual Interest in REMIC IV.

  • Income interest means the right of an income beneficiary to receive all or part of net income, whether the terms of the trust require it to be distributed or authorize it to be distributed in the trustee's discretion.

  • L/C Interest shall have the meaning ascribed to such term in Section 3.6 hereof.

  • SFTR means Regulation (EU) 2015/2365 of the European Parliament and of the Council of 25 November 2015 on transparency of securities financing transactions and of reuse and amending Regulation (EU) No 648/2012;

  • Asset Interest is defined in Section 2.1(b).

  • SUBI has the meaning set forth in the Recitals.

  • Class C Interest An uncertificated interest in the Trust Fund held by the Trustee on behalf of the Holders of the Class C Certificates, evidencing a Regular Interest in REMIC 3 for purposes of the REMIC Provisions.

  • Purchase Contract Settlement Fund has the meaning specified in Section 5.5.