In 2020, the Federal Government finalized the “Transparency in Coverage” Rule, which requires health insurers and group health plans, including self-funded clients, to provide cost-sharing data to consumers. For self-funded plans, such as the Town of Otisco’s plan for its employees, this information is to be available via Machine-readable files for plan years beginning on or after January 1, 2022. These files provide pricing data for covered items and services based on in-network negotiated payment rates and historical out-of-network allowed amounts.
The machine-readable files are available free of charge. The user is not required to establish a user account, password, or other credentials and does not require the user to submit any personal identifying information such as a name, email address, or telephone number.
The Town of Otisco participates In the Onondaga County Municipal Employee Benefits Agreement (OCEBA), which is an arrangement among several municipal entities involved in self-insurance plans for their municipal employees.
Therefore, to access the Machine-readable files relative to the Town of Otisco’s self-funded plan, please go on the internet to the following link, and scroll down to the OCEBA Group Health Benefits file: transparency-in-coverage.uhc.com