Considerations for Calculating Cost-Sharing Reduction Load Factors
Nov. 29, 2022 | Noon to 1:30 p.m. EST | USQS CE Available
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ABOUT THIS WEBINAR
Under the Affordable Care Act, cost-sharing reductions (CSRs) are available for eligible enrollees in the individual health insurance market. Initially, the federal government reimbursed insurers for CSRs, but that funding was terminated in 2017. In 2018, insurers began increasing their premiums to account for the lack of federal CSR funding. These CSR load factors can be calculated in various ways, and the choice of approach can have significant implications for the actuarial soundness of the load, the amount of the federal premium tax credits, consumer subsidies, plan pricing, and the financial performance of issuers in the individual marketplaces.
During this webinar, members of the Individual and Small Group Markets Committee and its Risk Sharing Subcommittee will provide more insight into this issue, as well as detailed information regarding the different methodologies used for calculating CSR loads, the different loads those different approaches can produce, and the implication of CSR loads that may be either too high or too low relative to actual experience.
Register now to join us for this informative conversation.
- Comment letter to the Center for Consumer Information & Insurance Oversight (CCIIO), Centers for Medicare & Medicaid Services (CMS), on Cost-Sharing Reduction Premium Load Factors.
- Donna C. Novak, MAAA, ASA, FCA, Vice Chairperson, Individual & Small Group Markets
Committee American Academy of Actuaries
- Jason Karcher, MAAA, FSA, Chairperson,
Risk Sharing Subcommittee American Academy of Actuaries
- Joyce Bohl, MAAA, ASA
Chairperson, Individual and Small Group Markets Committee
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