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Some sponsors, such as certain states, negotiate their health benefit contracts on a biennial basis. Can the sponsor show maintenance of effort based on a biennial cycle?

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Some sponsors, such as certain states, negotiate their health benefit contracts on a biennial basis. Can the sponsor show maintenance of effort based on a biennial cycle?

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A sponsor can show maintenance of effort on a biennial basis, provided the contract for health benefits is traditionally negotiated on a biennial basis. We do not expect sponsors to change their health benefit contracting cycle for purposes of showing maintenance of effort.

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