Medical Health concept The CMS suggests that wider access to these services could have an impact in preventing other conditions, helping to offset any additional direct claim cost in future savings. (Image: Chris Nicholls/ALM)

It’s not often that a state’s standard submission of a benchmark plan for federal approval would be newsworthy. But recently, Colorado’s benchmark plan, which will take effect on January 1, 2023, seriously raised the bar, establishing various services as essential health benefits (EHBs) which would often not be covered at all. State benchmark plans are used to determine what benefits are considered EHBs in a given state – the ACA defines broad categories of EHBs, but these plans are what issuers in a given market look to for more detail on what specific services need to be given the various protections this status affords.

Related: Hawaii asks health plans for more transparency on gender transition benefits

Complete your profile to continue reading and get FREE access to, part of your ALM digital membership.

Your access to unlimited content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and events.
  • Access to other award-winning ALM websites including and

Already have an account?


© 2023 ALM Global, LLC, All Rights Reserved. Request academic re-use from All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

BenefitsPRO Broker Expo 2024Event

The premier educational and networking event for employee benefits brokers and agents.

Get More Information


Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join now!

  • Unlimited access to - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including and
  • Exclusive discounts on and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.