Guidance ending Special Enrollment Periods for 2017

CMS issues guidance ending special enrollment periods for coverage during calendar year 2017. Document Excerpt Consistent with our practice in prior years, as of April 1, 2018, CMS is no longer accepting new requests for a Special Enrollment Period (SEP) that would enable consumers to enroll in a Qualified Health Plan (QHP) with 2017 coverage […]

Q & A on Medical Loss Ratio Reporting and Rebate Requirements

CCIIO issues technical guidance in the form of Qs and As on the medical loss ratio reporting and rebate requirements. Document Excerpt The purpose of this bulletin is to supplement Q&A #18 in the July 18, 2011 CCIIO Technical Guidance1 and other prior guidance2 regarding the employee counting method for determining market size for purposes […]

Process for a State to submit a Request for Adjustment to Individual Market MLR Standard

CCIIO issues technical guidance on the process for a state to submit a request for adjustment to the individual market medical loss ratio standard. Document Excerpt Section 2718 of the Public Health Service Act (PHS Act), as added by the Patient Protection and Affordable Care Act (PPACA), requires health insurance issuers (issuers) to submit a […]

Request for Comments on Expansion of Determination Letter Program for 2019

In Notice 2018-24, the IRS request comments on the possible expansion of the determination letter program for 2019 for individually designed plans beyond initial qualification and termination. Document Excerpt This notice requests comments on the potential expansion of the scope of the determination letter program for individually designed plans during the 2019 calendar year, beyond […]

Policy Statement on Alternative Ways on Satisfying Withdrawal Liability

The PBGC issues a policy statement on factors the PBGC considers in reviewing multiemployer plan proposals for alternative terms and conditions to satisfy withdrawal liability. Document Excerpt PBGC is issuing this policy statement to provide insight to the public on the information PBGC finds helpful and factors PBGC considers in reviewing multiemployer plan proposals for […]

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