2016 ACA Transitional Reinsurance Program Form Now Available

The ‘ACA Transitional Reinsurance Program Annual Enrollment and Contributions Submission Form’ for the 2016 benefit year is now available. The form will be used by employers sponsoring certain self-insured plans that use a third-party administrator in connection with claims processing, claims adjudication, and enrollment functions (“contributing entities”) to make contributions required under the Affordable Care Act’s (ACA) Transitional Reinsurance Program.

Reinsurance Contribution Process
To successfully complete the reinsurance contribution process, contributing entities (or third-party administrators or administrative services-only contractors on their behalf) must register on Pay.gov (or confirm a password if such entities registered for the previous benefit years of the program) and submit their annual enrollment counts of the number of covered lives of reinsurance contribution enrollees for the applicable benefit year using the form that is now available. All contributing entities must submit the 2016 Form and schedule reinsurance contribution payment(s) no later than Tuesday, November 15, 2016.

2016 Contribution Amounts

The 2016 reinsurance contribution rate is $27.00 per covered life. For the 2016 benefit year, contributing entities have the option to pay:

  • The entire 2016 benefit year contribution in one payment, no later than January 17, 2017 reflecting $27.00 per covered life; or
  • In two separate payments for the 2016 benefit year, with the first remittance due by January 17, 2017 reflecting $21.60 per covered life, and the second remittance due by November 15, 2017 reflecting $5.40 per covered life.

For more information on how to submit the 2016 Form, please click here.

Additional information on the reinsurance contribution process can be found in our Transitional Reinsurance Program section.

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