Machine Readable Files

The Departments of the Treasury, Labor, and Health and Human Services (the Departments) issued the Transparency in Coverage Final Rule (85 FR 72158) on November 12, 2020. The new regulations require non-grandfathered group health plans and health insurance issuers in the individual and group markets (plans and issuers) to disclose certain pricing information. This includes the disclosure of in-network negotiated rates (via in-network MRFs) and out-of-network allowed amounts (via allowed amount MRFs) posted to an internet website.

Plans and issuers are required to make these files public for plan or policy years beginning (effective) on or after July 1, 2022. Below are links to machine-readable files (including our Table of Contents file) for Wellfleet Group. All files are in JavaScript Object Notation (JSON), generally requiring a JSON reader for users to view. Please note that these files (particularly the Cigna files) are very large and accordingly require significant storage space.

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Wellfleet is the marketing name used to refer to the insurance and administrative operations of Wellfleet Insurance Company, Wellfleet New York Insurance Company, and Wellfleet Group, LLC. All insurance products are administered or managed by Wellfleet Group, LLC. Product availability is based upon business and/or regulatory approval and may differ among companies.