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Essential Health Benefits (EHB)

The Affordable Care Act requires that health plans on the individual and small group market, including all plans sold on the exchanges, contain a package of items and services. Required care services include: emergency services, ambulatory patient services, maternity care, pediatric care, mental health care, laboratory services, prescription drugs, and others.

Actuarial Value

The percentage of health care costs paid by the insurance plan for an average enrollee. The average number is calculated through the expected cost for…