; and (C) by inserting after clause (iii) the following: (iv) (I) agrees to offer the standardized option established for the State under paragraph (5) for each level of coverage offered by the issuer that is the bronze, silver, or gold level of coverage; and (II) with respect to offering coverage that is the bronze, silver, or gold level of coverage on an Exchange that is operated by the Secretary, agrees to offer only standardized options established for the State under paragraph (5) and not any other plan for such levels of coverage; and ; and (2) by adding at the end the following: (5) Standardized options (A) Definition of standardized option In this section, the term standardized option means a qualified health plan— (i) with a standardized cost-sharing structure established by the applicable State, or the Secretary, in accordance with this paragraph