Healthcare Alert! Transitional Reinsurance Program Submission Form Available
On Friday, October 24th the ACA Transitional Reinsurance Program Annual Enrollment and Contributions Submission Form became available on Pay.gov.
Oct 27, 2014
On Friday, October 24th the ACA Transitional Reinsurance Program Annual Enrollment and Contributions Submission Form became available on Pay.gov.
The Transitional Reinsurance Program is a 3 year program which is funded by a per covered member fee paid by most* group health plans to the federal government. The fee does not apply to Medicare-eligible members where Medicare is primary for Major Medical coverage. The payments and timing have been finalized for 2014 and 2015:
| Calendar Year | Total Amount | Timing of Payments** |
| 2014 | $63 | $52.50 Due January 2015, and $10.50 due last quarter of 2015 |
| 2015 | $44 | $33.00 Due January 2016, and $11.00 due last quarter of 2016 |
*Does not apply to self-insured plans that self administer claims (plans where there is no third-party administrator) for 2015 and 2016.
**Employers may elect to pay the entire payment by January 2015.
Please follow the above link and instructions to submit your annual enrollment count by November 15th.
As a reminder, there are 4 methods for self-insured group health plans to calculate their enrollment as detailed in the CMS publication issued in July.