The Department of Health and Human Services has released 2016 values for health care reform premium stabilization programs and cost sharing requirements.
Reinsurance Contributions. All health insurers and self-funded group health plans providing medical coverage must pay a transitional reinsurance fee which is intended to help the Marketplace pay for coverage of high-risk individuals.
The annual contribution required for the transitional reinsurance program will be $27 per enrollee for 2016. The fee does not apply to Medicare programs or plans of excepted benefits, such as prescription-only coverage, dental-only coverage or vision-only coverage. It is also not assessed on HRAs, FSAs or HSAs.
Cost Sharing Limits. For 2016, the maximum annual limit on cost-sharing will be $6,850 for self-only coverage and $13,700 for other coverage.
All plans must keep current with guidance on limitations required under health care reform.
