The Departments of the Treasury, Labor, and Health and Human Services (the Departments) have issued the Transparency in Coverage final rules (85 FR 72158) on November 12, 2020. The final rules require non-grandfathered group health plans and health insurance issuers in the individual and group markets (plans and issuers) to disclose certain pricing information. Under the final rules, a plan or issuer must disclose in-network negotiated rates, and billed and out-of-network allowed through two machine-readable files posted on an internet website.
First Health PPO In-Network file
2025-06-10_FirstChoiceHealth_In_Network_Rates.zip
Blue Shield CA PPO In-Network file
Kaiser WA HMO In-Network and Out-of-Network files
Kaiser CA HMO In-Network and Out-of-Network files
Kaiser NW HMO In-Network and Out-of-Network files
Kaiser CO HMO In-Network and Out-of-Network files
United Healthcare HMO In-Network and Out-of-Network files
2025-05-20_nwa_printing-specialties-and-paper-products_allowed-amounts.Json