September 29 – October 5, 2015

Updated Enrollment Manual for Federally Facilitated Marketplace Released: On October 1, the Centers for Medicare and Medicaid Services (CMS) published an updated enrollment manual for the federally facilitated marketplace (FFM). The 144-page manual covers operational and policy guidance for issuers offering plans and enrolling consumers through the FFM, including information on direct enrollment, Special Enrollment Periods, cancellations, and reinstatements, as well as sample notices.

2014 Payments to Issuers for Reinsurance, Risk Adjustment, and Risk Corridors Finalized: Also on October 1, CMS announced the payments issuers would receive through its reinsurance, risk adjustments, and risk corridors programs for the 2014 plan year. The programs (collectively called the “three Rs”) were included in the Affordable Care Act to stabilize the health insurance marketplace after market reforms were implemented. The payments are based on data from the 2014 coverage year, and all together, issuers will receive $7.9 billion in payments through the reinsurance program, $4.6 billion through risk adjustment, and $362 million through risk corridors.

State Updates:

  • Minnesota: The state’s commerce commissioner announced on October 1 that average premium increases for plans in the state’s marketplace will range from 14 percent to 49 percent for the 2016 plan year.
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