Implications of Market Application
Once a plan is offered in a competitive market, there is no guarantee of continuity. This problem could be greater in smaller rural states and markets which tend to be more volatile.
Rural beneficiaries need assurance that they will have continuous access to an affordable plan with comparable benefits in the event that plans drop coverage.
Further, there should be only minimal variation over time in the design of such plans. Ideally, the same plans would be offered continuously.