Overview

To support your well-being, Fanatics provides valuable benefits that help you and your family stay healthy and pay for care in the event of illness or injury.

Who’s eligible?

All regular full-time US employees* are eligible for medical and pharmacy benefits. You may enroll within 31 days of your hire date. After that, you may enroll or change your coverage during our annual open enrollment period or within 31 days of a qualified life event. Learn more about life events.

As an eligible employee, you can also enroll your:

*Benefits described in this site may not be available to employees covered under a collective bargaining agreement. If you have questions related to your collective bargaining agreement, please contact your HR Business Partner.

Your cost for medical coverage

Our medical plan options have lower-than-market average employee paycheck contributions, deductibles, and coinsurance. In addition, Fanatics uses a salary band approach to ensure our benefits stay cost effective.

Salary bands allow us to pass on additional savings to our employees who have an annual salary1 of $50,000 or less. Employees who have an annual salary1 of more than $50,000 will receive the normal annual cost adjustments. You will see your costs when enrolling through Fanatics Okta using the "Manage My Benefits" tile.

1 Annual salary is the amount effective in Fanatics Okta ("Manage My Benefits") on May 1 of each year.

2023–2024 medical plans

Our benefits program offers several medical and pharmacy plan options with a range of coverage levels and costs, so you can choose the plan that is best for you and your family.

PlanDescription 
PPO 500 | Option 1
Administered by: BCBS
A traditional Preferred Provider Organization (PPO) plan that costs you more from your paycheck but keeps your out-of-pocket costs down with copays for services and a low deductible that only applies to certain hospital services.
PPO 1500 | Option 2
Administered by: BCBS
A traditional Preferred Provider Organization (PPO) plan that balances your paycheck and out-of-pocket costs with a moderate deductible, copays for many services, and coinsurance after the deductible for some hospital services.
High Deductible Health Plan (HDHP | Option 3)
Administered by: BCBS
A high-deductible health plan (HDHP) that puts you in charge of your spending through lower payroll deductions and the ability to contribute to a tax-free Health Savings Account (HSA). Fanatics contributes to your HSA, too! ($500 for single coverage or $1,000 for non-single coverage annually)
EPO | Option 4
Administered by: BCBS
An Exclusive Provider Organization (EPO) plan that provides coverage for in-network care only, delivered through an exclusive network of providers.
Kaiser HMO
(California, Virginia, Maryland, and Washington D.C. employees only)
Administered by: Kaiser
A Health Maintenance Organization (HMO) plan available to California, Virginia, Maryland, and Washington D.C. employees that provides coverage for in-network care only, coordinated by your primary care provider.
Compare the plans
Key features at a glance:

All our medical plans provide:

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Comprehensive coverage

for a wide range of medical services.

Free in-network preventive care

with services such as annual physicals, recommended immunizations, and routine cancer screenings covered at 100%. See more covered preventive services.

Pharmacy coverage

included with each medical plan.

Financial protection

through annual out-of-pocket maximums that limit the amount you’ll pay each year.

 

Plan Comparison

Plan featuresPPO 500 | Option 1PPO 1500 | Option 2HDHP | Option 3EPO | Option 4Kaiser HMO (CA and VA, MD, DC only)
Your Medical Costs
Calendar Year Deductible (Individual/Family)
In-network$500/$1,500$1,500/$4,500$2,000/$4,000*$1,000/$3,000$500/$1,000***
Out-of-network$1,800/$5,400$4,500/$13,500$4,000/$8,000*Not coveredNot covered
Coinsurance
In-network0%20%20%20%20%
Out-of-network50%50%50%Not coveredNot covered
Calendar Year Out-of-Pocket Maximum (Individual/Family)
In-network$3,500/$7,000$4,500/$9,000$5,000/$10,000**$4,000/$9,000$3,000/$6,000***
Out-of-network$7,000/$14,000$9,000/$18,000$10,000/$20,000**Not coveredNot covered
Preventive Care
In-network100% covered100% covered100% covered100% covered100% covered
Out-of-networkDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Primary Care Visit
In-network$30 copay$30 copayDeductible, then 20% coinsurance$25 copay$20 copay
Out-of-networkDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Specialist Visit
In-network$60 copay$60 copayDeductible, then 20% coinsurance$60 copay$40 copay
Out-of-networkDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Virtual Visit
In-networkTeladoc PCP: $10 copay / Teladoc Specialist: $30 copayTeladoc PCP: $10 copay / Teladoc Specialist: $30 copayDeductible, then 20% coinsurance (Your Teladoc cost share will depend on the service.)Teladoc PCP: $10 copay / Teladoc Specialist: $25 copayTelehealth visit: $0 copay
Lab & X-ray
In-networkYour cost share will depend on your provider and where the service is performed.Your cost share will depend on your provider and where the service is performed.Deductible, then 20% coinsuranceYour cost share will depend on your provider and where the service is performed.CA: Deductible, then $10 copay / VA, MD, DC: $10 copay
Out-of-networkDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Emergency Room Visit
In- or out-of-network$350 copay (waived if admitted)$350 copay (waived if admitted)Deductible, then 20% coinsurance$350 copay (waived if admitted)Deductible, then 20% coinsurance
Urgent Care Visit
In-network$30 copay$30 copayDeductible, then 20% coinsurance$25 copayCA: $20 copay / VA, MD, DC: $40 copay
Out-of-networkDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Outpatient Hospital Services
In-networkDeductible + $300 copayDeductible, then 20% coinsuranceDeductible, then 20% coinsuranceDeductible + $300 copayDeductible, then 20% coinsurance
Out-of-networkDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Inpatient Hospital Services
In-networkDeductible + $700 copayDeductible, then 20% coinsuranceDeductible, then 20% coinsuranceDeductible + $400/day (5 days max.)Deductible, then 20% coinsurance
Out-of-networkDeductible, then 50% coinsuranceDeductible + $500 copay, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Outpatient Mental Health
In-network$30 copay$30 copayDeductible, then 20% coinsurance$25 copay$20 copay
Out-of-networkDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Inpatient Mental Health
In-networkDeductible + $700 copayDeductible, then 20% coinsuranceDeductible, then 20% coinsuranceDeductible + $400/day (5 days max.)Deductible, then 20% coinsurance
Out-of-networkDeductible, then 50% coinsuranceDeductible + $500 copay, then 50% coinsuranceDeductible, then 50% coinsuranceNot coveredNot covered
Your Pharmacy Costs
Retail Prescriptions (30-day supply)
Tier 1$10 copay$10 copayDeductible, then 20% coinsurance$10 copay$10 copay
Tier 2$50 copay$50 copayDeductible, then 20% coinsurance$50 copay$30 copay
Tier 3$80 copay$80 copayDeductible, then 20% coinsurance$80 copay$30 copay
Mail Order Prescriptions (90-day supply)
Tier 1$25 copay$25 copayDeductible, then 20% coinsurance$25 copay$20 copay
Tier 2$125 copay$125 copayDeductible, then 20% coinsurance$125 copay$60 copay
Tier 3$200 copay$200 copayDeductible, then 20% coinsurance$200 copay$60 copay

*With the HDHP | Option 3, the family deductible is an aggregate, or “true family,” deductible. This means that coinsurance for any person covered under a family plan begins only after the entire family deductible has been met.

**With the HDHP | Option 3, family coverage has an embedded out-of-pocket maximum that applies to individuals covered on the plan. This means the plan begins to pay 100% for any covered family member when that person meets an individual out-of-pocket maximum of $6,650 in-network. The plan will pay 100% for all covered family members once the family out-of-pocket maximum ($10,000 in-network/$20,000 out-of-network) has been met, even if certain family members have not met their embedded individual out-of-pocket maximum.

***Kaiser has an embedded deductible and out-of-pocket maximum for family coverage. That means that no single individual on a family plan will have to pay a deductible or OOP max higher than the individual deductible amount.

Coverage for bariatric surgery, fertility treatment, and gender affirmation treatment

Coverage for bariatric surgery, fertility treatment, and gender affirmation treatment is now accessible to employees through their Fanatics medical and pharmacy coverage as of July 1, 2023, rather than through a reimbursement program. This approach allows access to high quality care, as well as clinical treatment and guidance to support your medically necessary needs at a negotiated rate while improving your overall well-being.

If you incurred eligible expenses for bariatric surgery, fertility treatment, or gender affirmation treatment before July 1, 2023, you have until June 30, 2024 to request reimbursement through the prior reimbursement programs. Use the applicable documents on the Resources page to submit your reimbursement request.

 

PPO 500 | Option 1

The PPO 500 | Option 1 plan offers lower out-of-pocket costs in exchange for higher paycheck contributions. With this plan, your costs are more predictable, but you’ll likely still have some out-of-pocket expenses.

You can choose any in-network or out-of-network provider each time you receive care. But keep in mind: You will generally receive higher benefits when you use in-network providers.

If you are newly enrolling in this plan, you will receive an ID card in the mail shortly after enrolling. You can also print your ID card information from the BCBS website or download the My Health Toolkit® mobile app to view a digital ID card.

How the PPO 500 | Option 1 plan works
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Copay

You pay a small fee at the time of service for in-network doctor visits and prescriptions. (The deductible does not apply.)

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Deductible

For some care, such as hospital services, you pay 100% of the costs until you meet the annual deductible.

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Cost Sharing

After meeting the deductible, you pay either a copay or coinsurance (a percentage of the cost), and the plan pays the rest.

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Out-of-Pocket Maximum

You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.

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Money-saving Tip

A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for care. But, be sure to plan your FSA contributions carefully! Based on the IRS “use it or lose it” policy, you can only roll over up to $610 of unused money in your FSA to the next year; you will forfeit any amount above $610 that remains in your FSA at the end of the plan year.

Make the most of your coverage

Take advantage of these resources to manage your care and your costs.

 

PPO 1500 | Option 2

The PPO 1500 | Option 2 plan offers slightly higher out-of-pocket costs compared to the PPO 500 | Option 1 plan, in exchange for slightly lower paycheck contributions. With the PPO 1500 | Option 2 plan, your costs are somewhat predictable, but you’ll likely have out-of-pocket expenses.

You can choose any in-network or out-of-network provider each time you receive care. But keep in mind: You will generally receive higher benefits when you use in-network providers.

If you are newly enrolling in this plan, you will receive an ID card in the mail shortly after enrolling. You can also print your ID card information from the BCBS website or download the My Health Toolkit® mobile app to view a digital ID card.

How the PPO 1500 | Option 2 plan works
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Copay

You pay a small fee at the time of service for in-network doctor visits and prescriptions. (The deductible does not apply.)

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Deductible

For some care, such as hospital services, you pay 100% of the costs until you meet the annual deductible.

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Coinsurance

After meeting the deductible, you and the plan share the cost of certain services, with the plan paying the majority.

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Out-of-Pocket Maximum

You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.

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Money-saving Tip

A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for care. But, be sure to plan your FSA contributions carefully! Based on the IRS “use it or lose it” policy, you can only roll over up to $610 of unused money in your FSA to the next year; you will forfeit any amount above $610 that remains in your FSA at the end of the plan year.

Make the most of your coverage

Take advantage of these resources to manage your care and your costs.

 

HDHP | Option 3

The HDHP | Option 3 pairs low-payroll deduction, high-deductible medical coverage with a tax-free Health Savings Account (HSA)

With this plan, you can choose any in-network or out-of-network provider each time you receive care. But keep in mind: You will generally receive higher benefits when you use in-network providers.

If you are newly enrolling in this plan, you will receive an ID card in the mail shortly after enrolling. You can also print your ID card information from the BCBS website or download the My Health Toolkit® mobile app to view a digital ID card.

How the HDHP | Option 3 works

You pay the plan payroll deduction from your paycheck to have coverage.

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Fund your HSA

You can contribute tax-free money to help cover your costs — now, or in the future. Fanatics contributes to your account, too! You'll receive $500 (single coverage tier) or $1,000 (non-single coverage tier) for the year.

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Deductible

You pay 100% of your medical and pharmacy costs until you meet the annual deductible.

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Coinsurance

After meeting the deductible, you and the plan share the cost of certain services, with the plan paying the majority.

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Out-of-Pocket Maximum

You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.

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Money-saving Tip

Use your HSA to budget for deductibles and other out-of-pocket expenses while also saving money — your HSA contributions are tax-free!

Make the most of your coverage

Take advantage of these resources to manage your care and your costs.

Budgeting for your costs

With the HDHP | Option 3, you pay less in payroll deductions and assume more financial responsibility when you receive care. So, it’s important to plan ahead for your out-of-pocket expenses. Here are some ideas to consider:

  • Think about your costs. Contribute at least enough to your HSA to cover your expected out-of-pocket costs, such as your annual deductible and coinsurance. Remember — because you’re keeping more of your paycheck by paying lower medical plan payroll deductions, you may have extra money available to put in your HSA.
  • Plan ahead. You can only spend HSA money that’s actually been deposited into your account. If you don’t have money in your HSA when you need it, pay another way (credit card, check, or cash) and remember to reimburse yourself later so you take full advantage of your HSA’s tax savings.
  • Look long term. You will never forfeit any money left in your HSA — it rolls over year after year. If you know about future expenses — or if you want to save for your health care costs in retirement — set aside a little extra each paycheck so your balance can grow over time.
 

EPO | Option 4

The EPO | Option 4 plan provides in-network coverage only and helps you save money through the discounted rates charged by network providers.

If you are newly enrolling in this plan, you will receive an ID card in the mail shortly after enrolling. You can also print your ID card information from the BCBS website or download the My Health Toolkit® mobile app to view a digital ID card.

How the EPO | Option 4 works

You pay the plan payroll deduction from your paycheck to have coverage.

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Copay

You pay a small fee at the time of service for in-network doctor visits and prescriptions. (The deductible does not apply.)

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Deductible

For some care, such as hospital services, you pay 100% of the costs until you meet the annual deductible.

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Cost Sharing

After meeting the deductible, you pay either a copay or coinsurance (a percentage of the cost), and the plan pays the rest.

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Out-of-Pocket Maximum

You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.

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Money-saving Tip

A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for care. But, be sure to plan your FSA contributions carefully! Based on the IRS “use it or lose it” policy, you can only roll over up to $610 of unused money in your FSA to the next year; you will forfeit any amount above $610 that remains in your FSA at the end of the plan year.

Make the most of your coverage

Take advantage of these resources to manage your care and your costs.

 

Kaiser HMO

The Kaiser HMO plan is available to California, Virginia, Maryland, and Washington D.C. employees. It provides coverage only when you receive care from providers within the HMO network. Your primary care provider (PCP) will coordinate your care to help manage costs.

If you are newly enrolling in this plan, you will receive an ID card in the mail shortly after enrolling. You can also print your ID card information from the Kaiser website or download the Kaiser Permanente mobile app to view a digital ID card.

Do you have a PCP?

With an HMO, you’re required to select a primary care provider (PCP) who will manage your care and provide referrals if you need to see a specialist. Find a doctor>>

How the Kaiser HMO works

You pay the plan payroll deduction from your paycheck to have coverage.

How the Kaiser HMO works

You pay the plan payroll deduction from your paycheck to have coverage.

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Copay

You pay a small fee at the time of service for in-network doctor visits and prescriptions. (The deductible does not apply.)

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Deductible

For some care, such as hospital services, you pay 100% of the costs until you meet the annual deductible.

icon

Coinsurance

After meeting the deductible, you and the plan share the cost of certain services, with the plan paying the majority.

icon

Out-of-Pocket Maximum

You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.

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Money-saving Tip

A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for care. But, be sure to plan your FSA contributions carefully! Based on the IRS “use it or lose it” policy, you can only roll over up to $610 of unused money in your FSA to the next year; you will forfeit any amount above $610 that remains in your FSA at the end of the plan year.

 

Pharmacy

When you enroll in the PPO 500 | Option 1, PPO 1500 | Option 2, EPO | Option 4, or HDHP | Option 3 plan, you automatically receive pharmacy benefits through OptumRx. OptumRx has a wide variety of pharmacies in its network, including both national and locally run pharmacies. If you enroll in the Kaiser HMO plan, your pharmacy coverage will be provided through Kaiser.

Pharmacy coverage tiers

The cost of your prescription drugs depends on the tier of the medication:

  • Tier 1 — Generic medications contain the same active ingredients as their brand-name equivalents and meet the same federal standards for safety, but typically cost significantly less.
  • Tier 2 — Preferred brand-name prescription drugs are favored by a prescription plan based on effectiveness and cost.
  • Tier 3 — Nonpreferred brand-name prescription drugs are not on a prescription plan's favored list (or formulary) based on effectiveness and cost. Nonpreferred drugs still may be covered, but may require prior authorization and cost more.

Mail order

For ongoing maintenance medication, you can take advantage of the convenience and cost savings of using the mail order program.

Why use mail order:
  • Prescriptions are shipped to you for free — no waiting in line at the pharmacy.
  • You save money with a reduced cost for a three-month supply.
  • You can set up automatic refills.

Save money

The cost of prescription drugs is rising faster than many other health care services and supplies. But, there are ways for you to save on your cost of prescriptions.

  • Ask your doctor about generic medications. Generic medications are generally just as effective as brand-name medications, yet the cost of generics is substantially lower, both for you and your plan. They typically cost between 30% and 75% less than brand-name drugs.
  • Use your plan’s mail order feature. If you regularly take medication to treat a chronic condition — such as an allergy, heart disease, high blood pressure, or diabetes — the mail order prescription program is a convenient and money-saving option for you.
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Manage prescriptions

Start or refill a mail order prescription, compare costs, and more.

 

Tools & Resources

Take advantage of these valuable resources to better manage your health care and your spending.

Medical plan website

Find an in-network provider, research costs, view claims, and more through your medical plan’s website:

  • For the PPO 500 | Option 1, PPO 1500 | Option 2, EPO | Option 4, or HDHP | Option 3 plans: Log in to the BCBS My Health Toolkit® website or download the My Health Toolkit® mobile app. If this is your first time using the BCBS My Health Toolkit®, follow the instructions to register and then create your profile.
  • For the Kaiser HMO: Log in to the Kaiser website or download the Kaiser Permanente mobile app.
Pharmacy plan website

Review your plan’s formulary list, check prescription prices, sign up for mail order, request a refill, and more on your pharmacy plan’s website:

  • For the PPO 500 | Option 1, PPO 1500 | Option 2, EPO | Option 4, or HDHP | Option 3 plans: Log in to the OptumRx website.
  • For the Kaiser HMO: Log in to the Kaiser website
Blue Cross Blue Shield resources

If you’re enrolled in the PPO 500 | Option 1, PPO 1500 | Option 2, EPO | Option 4, or HDHP | Option 3 plan, you have access the following resources:

  • Member Messaging: Sign up for member messaging to receive cost‐saving tips, health and wellness reminders, and updates for your specific benefits. For example, a quick text can suggest convenient places to get a flu vaccine. It’s a simple and secure way to get information you can use — and it’s easy to enroll. Call 844.206.0624.
  • Essential Advocate: Call 888.521.2583 any time of the day, any day of the week. A care coordinator will connect you with a registered nurse or other expert who can provide information, support, or health pointers. For example, you can get help with:
    • Finding a doctor, specialist or urgent care center.
    • Concerns about medications and side effects.
    • Locating helpful programs and resources in your community.
    • Preparing for surgery and taking steps for a healthy recovery.
    • Scheduling an appointment with your doctor.
  • My Health Toolkit® mobile app: Put health care resources at your fingertips with this convenient app. After downloading the app and logging in, you can:.
    • View and share your digital ID card.
    • Check the status of your claims fast.
    • See what’s covered by your health plan.
    • Find a local provider who’s right for you.
Kaiser resources

If you’re enrolled in the Kaiser HMO, you have access to the following resources:

  • 24/7 advice: Call 833.574.2273 to talk to a licensed care provider any time of day or night if you have a question or need medical advice. Reach out for answers to urgent health questions and help deciding what type of care is needed and where to get it.
  • kp.org: Stay on top of your health care by registering on the Kaiser website. You can choose a doctor, schedule appointments, view most lab results, refill most prescriptions, and more. You can also take advantage of online wellness programs, work with a wellness coach, and save money with member discounts.
  • Kaiser Permanente mobile app: Get care when and where you need it. Download the app, log in, and take advantage of many convenient care options. You can email your provider team with a nonurgent question, receive medical advice through an e-visit, or schedule a phone or video visit. You can also easily access your plan information, locate a nearby facility, and much more.
Transparency in Coverage Rules

The federal Transparency in Coverage Rules require certain group health plans to publicly disclose price and cost-sharing information. This information includes in-network provider rates as well as historical out-of-network allowed amounts and billed charges for covered items and services, which is to be shared via two separate machine-readable files (MRFs). The machine-readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data. The MRFs for Fanatics’ medical plan carriers can be found below: