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Reinsurance Program Requires Self-Insured Health Plans to File Enrollment Data by November 15 and Pay Fee Later
Snell & Wilmer Link to more items from this source
[Guidance Overview]
Oct. 10, 2014

"For 2015 and 2016, self-insured group health plans can be excluded from paying reinsurance contributions if they do not use a third party administrator for the 'core administrative functions' of claims processing or adjudications or plan enrollment. However, this is a narrow exclusion. To qualify, a self-insured plan cannot use the third party administrator for more than 5 percent of the plan's core administrative functions. The [HHS] expects that few plans will qualify and estimates that this exclusion will have a small effect on the rates in the future."

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