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Cost-Sharing Reduction (CSR)

A provision in the Affordable Care Act that lowers the amount an individual pays out-of-pocket for deductibles, coinsurance, and copayments. Individuals can qualify if they are enrolled in a Silver plan through the exchange and have income that is below 250 percent of the Federal Poverty Level.

Grievance

Complaints filed by individuals regarding coverage denial which they believe to be unreasonable.