On January 22nd H.R 195 was signed into law, suspending the collection of health insurance provider fees in the 2019 calendar year. The bill was originally introduced on January 3, 2017 to resolve differences throughout the year from House actions and Senate actions. From this new law, States were mandated to pass on requirements for each health insurance Issuers within their state to submit updates to rates.
- Insurers have included a portion of the 2019 fee as part of the 2018 premium charged to employer groups with plan years beginning between January 1, 2018 and December 1, 2018.
- All insurers that have approved group rates for plan years beginning in 2018 are directed to refile such rates for second, third, and fourth quarter of 2018 to remove the fee for the portion of the plan year in 2019.
- For groups with plan years beginning February 1, 2018 through March 31, 2018, insurers are directed to provide a credit or refund of the 2019 fee to the employer group in the 2018 plan year.
- Filings should be submitted no later than March 1, 2018. Small employer insurers may include any additional rate changes requested for third and fourth quarter in accordance with Bulletin HC-106 in the March 1 rate filing submission.
Experienced in state-based exchanges, Softheon works with Access Health CT to facilitate its Small Group Health Options Program (SHOP), which serves more than 810,000 consumers. Utilizing Softheon’s Marketplace Cloud platform, Softheon will transit exchange enrollment & payment information (834, 820, etc.) to handle the enrollment, effectuation, payment aggregation, & reconciliation of Access Health CT SHOP’s consumers. To provide increased ease, Softheon will also assist in refiling rates, allowing Connecticut’s residents to get new quotes anonymously and in real-time, select a plan, and enroll and effectuate into coverage.
The Softheon team prides itself on its agility to adapt to and stay abreast of healthcare policy changes impacting its clients and the market. To learn more about Softheon’s government solutions, contact us or download our datasheet.
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