{"data":{"id":"us/42-cfr-457.420","jurisdiction":"us","citation":"42 CFR 457.420","heading":"Benchmark health benefits coverage.","body":"Benchmark coverage is health benefits coverage that is substantially equal to the health benefits coverage in one of the following benefit plans:\n(a) Federal Employees Health Benefit Plan (FEHBP). The standard Blue Cross/Blue Shield preferred provider option service benefit plan that is described in, and offered to Federal employees under, 5 U.S.C. 8903(1).\n(b) State employee plan. A health benefits plan that is offered and generally available to State employees in the State.\n(c) Health maintenance organization (HMO) plan. A health insurance coverage plan that is offered through an HMO (as defined in section 2791(b)(3) of the Public Health Service Act) and has the largest insured commercial, non-Medicaid enrollment in the State.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER D—STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs)","PART 457—ALLOTMENTS AND GRANTS TO STATES","Subpart D—State Plan Requirements: Coverage and Benefits"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"69a8e510763c3e668034d1a17df5cb15e38c4dc666aabae260def85473ce17c9","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-457.410","next":"us/42-cfr-457.430"},"notice":"GroundRules: Original legal text. Not legal advice."}