or coinsurance, that the State would have made to provide comparable coverage of the individuals described in paragraph (3)(B) involved. (B) Determination For purposes of subparagraph (A), cost-effectiveness shall be determined— (i) on an annual basis by comparing— (I) the amount of expenditures per employer for coverage under the qualified employer-sponsored coverage involved of the individuals described in paragraph (3)(B) for the preceding 4 calendar quarters