Organization Name
Plan Name
Contract ID
Plan ID
Segment ID
Organization Type
Plan Type
Special Needs Plan
Special Needs Plan Type
Benefit Type
Auto-enrollment
National PDP
Part D Payment Reinsurance Demonstration2
Part D Payment Reinsurance Demonstration Type
Part C Premium3
Part D Basic Premium4
Part D Supplemental Premium5
Part D Total Premium6
Part D Premium Obligation with Full Premium Assistance
Part D Premium Obligation with 75% Premium Assistance
Part D Premium Obligation with 50% Premium Assistance
Part D Premium Obligation with 25% Premium Assistance
Part D Drug Deductible
Increased Initial Coverage Limit7
Extra Coverage in Gap