Health Insurance Issuer Submission of the Preliminary Justification

Exhibit A: Screenshot Illustration of the HIOS Rate Review Data Collection System:

Initial HIOS Sign-In screen.

HIOS Main Page Menu

Rate Review System Module Selected

Rate Review Submission Tab Selected

First Preliminary Justification Upload Screen (Issuers will use this Screen to locate products already stored in the HIOS system through the Plan Finder Reporting Requirements)

Second Preliminary Justification Upload Screen (Issuers will use this screen to upload the three parts of the Preliminary Justification.

Preliminary Justification Submission Confirmation

Submission of Supplemental Information Function

Submission of Supplemental Information Function (continued)

Modify Function

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