first sufficient information year
Defined in 3 places across 3 titles of the United States Code.
The term "first sufficient information year" means, with respect to a group health plan—
Source
- 2020–202626 U.S.C. § 9816Internal Revenue Code · Preventing surprise medical bills · in this subchapter
The term “first sufficient information year” means, with respect to a group health plan—
(aa) in the case of an item or service for which the plan does not have sufficient information to calculate the median of the contracted rates described in clause (i)(I) in 2019, the first year subsequent to 2022 for which such sponsor has such sufficient information to calculate the median of such contracted rates in the year previous to such first subsequent year; and
(bb) in the case of a newly covered item or service, the first year subsequent to the first coverage year for such item or service with respect to such plan for which the sponsor has sufficient information to calculate the median of the contracted rates described in clause (i)(I) in the year previous to such first subsequent year.
Source
- 2026–present26 U.S.C. § 9816Internal Revenue Code · Preventing surprise medical bills · in this subchapter
The term "first sufficient information year" means, with respect to a group health plan or group health insurance coverage offered by a health insurance issuer—
Source
- 2020–202629 U.S.C. § 1185eLabor · Preventing surprise medical bills · in this subpart
The term “first sufficient information year” means, with respect to a group health plan or group health insurance coverage offered by a health insurance issuer—
(aa) in the case of an item or service for which the plan or coverage does not have sufficient information to calculate the median of the contracted rates described in clause (i)(I) in 2019, the first year subsequent to 2022 for which such sponsor or issuer has such sufficient information to calculate the median of such contracted rates in the year previous to such first subsequent year; and
(bb) in the case of a newly covered item or service, the first year subsequent to the first coverage year for such item or service with respect to such plan or coverage for which the sponsor or issuer has sufficient information to calculate the median of the contracted rates described in clause (i)(I) in the year previous to such first subsequent year.
Source
- 2026–present29 U.S.C. § 1185eLabor · Preventing surprise medical bills · in this subpart
The term "first sufficient information year" means, with respect to a group health plan or group or individual health insurance coverage offered by a health insurance issuer—
Source
- 2020–202642 U.S.C. § 300gg-111The Public Health and Welfare · Preventing surprise medical bills · in this part
The term “first sufficient information year” means, with respect to a group health plan or group or individual health insurance coverage offered by a health insurance issuer—
(aa) in the case of an item or service for which the plan or coverage does not have sufficient information to calculate the median of the contracted rates described in clause (i)(I) in 2019, the first year subsequent to 2022 for which the sponsor or issuer has such sufficient information to calculate the median of such contracted rates in the year previous to such first subsequent year; and
(bb) in the case of a newly covered item or service, the first year subsequent to the first coverage year for such item or service with respect to such plan or coverage for which the sponsor or issuer has sufficient information to calculate the median of the contracted rates described in clause (i)(I) in the year previous to such first subsequent year.
Source
- 2026–present42 U.S.C. § 300gg-111The Public Health and Welfare · Preventing surprise medical bills · in this part