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    Health insurance exchange state rankings: 9 top performers




    California: For Uniformity, Nondiscrimination, State Oversight, and Continuity of Care

    California requires standardized benefit designs across all plan levels and it does not allow any non-standard plans in the exchange. The state is also working toward continual improvement through a consumer survey quality rating system, according to the report.

    The standardized benefit designs across all metal levels, means that all people enrolled in the same metal level encounter the same cost sharing for the same benefits, says Marc Boutin, NHC chief executive officer. California, he adds, is also the only state that lists potential out-of-pocket costs for each plan, depending on whether consumers determine they are a high, medium, or low user of healthcare.



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