50.[12]See 31 U.S.C. 9701.[13] These 10 options include the following: the largest health plan by enrollment in any of the three largest small group insurance products by enrollment in the state’s small group market; any of the largest three employee health benefit plan options by enrollment offered to the state’s employees; any of the largest three national Federal Employees Health Benefits Program (“FEHBP”) plan options by aggregate enrollment that is offered to all health-benefits-eligible federal employees; or the coverage plan with the largest insured commercial non-Medicaid enrollment offered by a health maintenance organization operating in the state.

A consumer class action filed last Tuesday in federal court in Philadelphia alleges that the Alliance has, in fact, charged fees to millions of U.S. taxpayers in excess of the amounts permitted by federal law. See 31 U.S.C. 9701. An article in the Kansas City Star describes the suit.