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Issue Brief: the Role of Reinsurance in State Efforts to Expand Health Insurance Coverage (PDF)
Deborah Chollet, Ph.D. for State Coverage Initiatives 
Oct. 14, 2004
Excerpt: Over the past several decades, many states have sought to stabilize health insurance markets and to expand coverage by developing reinsurance programs, which assume a portion of insurers' high-cost claims. In the 1980s, some states sponsored these programs in an effort to reduce steep premium increases for small employers with high claims experience. By the early 1990s state reinsurance programs to support the small-group market generally had ended[.]
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