Pennsylvania Code
Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

• No statutes or acts will be found at this website.

The Pennsylvania Bulletin website includes the following: Rulemakings by State agencies; Proposed Rulemakings by State agencies; State agency notices; the Governor’s Proclamations and Executive Orders; Actions by the General Assembly; and Statewide and local court rules.

PA Bulletin, Doc. No. 21-1670

NOTICES

INSURANCE DEPARTMENT

1332 Waiver Reinsurance Program—Program Parameters; Notice 2021-11

[51 Pa.B. 6337]
[Saturday, October 2, 2021]

 On July 24, 2020, the Centers for Medicare & Medicaid Services, a division of the United States Department of Health and Human Services, and the United States Department of the Treasury, approved the Insurance Department's 1332 Waiver Application. The approval is effective for a waiver period from January 1, 2021, through December 31, 2025, with a provision for a possible extension at the end of the initial term.

 The reinsurance program is a claims-based, attachment point reinsurance program that will reimburse health insurers for claims costs of qualifying Affordable Care Act-compliant individual enrollees, where a percentage of the claims costs exceeding a specified threshold (attachment point) and up to a specified ceiling (reinsurance cap) will be reimbursed. Beginning January 1, 2022, and slightly adjusted from the preliminary parameters in Notice 2021-06 published at 51 Pa.B. 3073 (May 29, 2021) and the revised parameters in Notice 2021-09 published at 51 Pa.B. 4175 (July 31, 2021), the program-adopted parameters have been updated to an attachment point of $60,000, a cap of $100,000 and a coinsurance rate of 64%.

 Questions regarding this notice may be addressed to the Bureau of Life, Accident and Health, Insurance Department, 1311 Strawberry Square, Harrisburg, PA 17120, RA-RATEFORM@pa.gov.

JESSICA K. ALTMAN, 
Insurance Commissioner

[Pa.B. Doc. No. 21-1670. Filed for public inspection October 1, 2021, 9:00 a.m.]


No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Bulletin full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.