Experient Health Explains Three Key Changes to the 2015 Reinsurance Program

Share Article

Experient Health's Blog series on Health Care Reform aims to explain the changing elements as they come out, like the reinsurance program.

Experient Health has experienced professionals who help guide individuals through buying an Individual Health Insurance Plan.

A recent Department Health and Human Services (HHS) proposed rule - the 2015 Notice of Benefit and Payment Parameters Proposed Rule - addresses key changes to the transitional reinsurance program for 2015 and Experient Health helps further explain its impact in its latest post in its health care reform Blog series.

Experient Health is the health insurance arm of the Virginia Farm Bureau.

The transitional reinsurance program is a three-year program required by the Affordable Care Act (ACA) to help stabilize coverage premiums in the individual market during the first years of the Exchange.

"First, the proposed rule would exempt certain self-insured, self-administered group health plans from the ACA’s reinsurance contribution requirement by redefining a contributing entity," Experient Health wrote. "This change is proposed to be effective for the 2015 and 2016 benefit years and applies to self-insured, self-administered group health plans that do not use a third party administrator for core processing functions."

Second, HHS announced that the annual contribution rate for 2015 will be $44 per enrollee per year.

Third, HHS modified the reinsurance payment schedule, effective for the 2014 benefit year.

"Under the 2013 rule, contributing entities were required to submit payment within 30 days of an HHS notification or by Dec. 15," Experient Health wrote. "The proposed rule would change the collection schedule, requiring payment of reinsurance contributions in two installments—one at the beginning of the calendar year following the benefit year and one at the end of that calendar year."

For example, for 2015, the proposed rule would require the newly defined “contributing entities” to pay the $44 per enrollee in a $33 allotment in January 2016 and $11 in the fourth quarter of 2016.

To stay up on these and other health care changes, contact an Experient Health Benefits Consultant.


For years, Experient Health, a Virginia Farm Bureau company, has helped people find the right insurance coverage and get the most for their health care dollars. The Richmond, Va.-based group is dedicated to providing high quality health insurance options to customers in Virginia, Maryland, and Washington DC. As a result, its consultants, with an average of more than 20 years experience, are intimately familiar with the states’ provider networks, products and regulations.

Representing the top national insurance carriers, Experient Health provides customers with multiple policy options designed to meet wellness needs and financial requirements.

Experient Health grew out of Virginia Farm Bureau and is a “hometown agency” in that it operates a network of more than 100 offices. However, it boasts the resources and technology of larger firms.

Consultants are available online, via phone and through their offices.

Learn more at http://www.experienthealth.com, utilize the online health insurance quote calculator or contact a consultant directly at 855.677.6580.

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Stephanie Heinatz
Consociate Media
+1 (757) 713-2199
Email >

Brad Spence
Experient Health
since: 04/2013
Like >
Experient Health

Visit website