Blank for HIOS data (does not apply)
Categorical indicator that plan is a stand-alone dental plan
Categorical indicator of market coverage of plans submitted with this template
Excel or Access
cohabitation requirement; field may be truncated at 256 characters if exported to
Only relationships allowed by issuer are listed, followed by Yes or No to indicate
enrollees and whether cohabitation is required
Categorical indicator that identifies which family relationships are allowed for
qualifying an enrollee for the non-tobacco insurance rate, if applicable
Integer value for the number of tobacco-free months considered when
time of an application
Categorical indicator for the method used to determine the person's age at the
same as secondary subscribers
Categorical indicator for whether a same sex partner is treated the
Categorical indicator for whether a domestic partner is treated the
The maximum number of children used to rate a child-only policy
for a child, if applicable
Integer value for the maximum age for which an insurance plan could be issued
parent family
The maximum number of dependents used to rate a policy in a single
The maximum number of dependents used to rate a policy in a two
Description of enrollee contract rule for determining rates
HIOS
Fourteen-character alpha-numeric code that identifies an insurance plan within
Ten-character alpha-numeric code that identifies an insurance product within HIOS
Tax ID Number of issuer
Date of data import
Categorical identifier of source of data import
Oversight System (HIOS)
Five-digit numeric code that identifies the issuer organization in the Health Insurance
Two-character state abbreviation indicating the state where the plan is offered
Year for which plan provides coverage to enrollees
Source File URL: https://www.cms.gov/CCIIO/Resources/Data-Resources/marketplace-puf.html
Source Page: http://download.cms.gov/marketplace-puf/2017/business-rules-puf.zip
NBER URL: http://www.nber.org/data/cms-health-insurance-marketplace-public-use-files.html
busrules2017 data set up by Jean Roth , jroth@nber.org ,  8 Dec 2017