The Transitional Reinsurance Program - Reinsurance Contributions

Overview

Section 1341 of the Affordable Care Act established a transitional reinsurance program to stabilize premiums in the individual market inside and outside of the Marketplaces. The transitional reinsurance program will collect contributions from contributing entities to fund reinsurance payments to issuers of non-grandfathered reinsurance-eligible individual market plans, the administrative costs of operating the reinsurance program, and the General Fund of the U.S. Treasury for the 2014, 2015, and 2016 benefit years.

How Does a Contributing Entity Make Reinsurance Contributions?

HHS has implemented a streamlined approach to complete the contributions process through Pay.gov. To successfully complete the reinsurance contribution process, contributing entities, or TPAs or ASO contractors on their behalf, must register on Pay.gov.

• Pay.gov offers a simplified method for contributing entities to register, submit their covered lives count, be notified of the contribution amount owed, and remit contributions
• Pay.gov is a secure, web-based application owned by the Federal Government
• Pay.gov allows external parties to submit forms online and make online payments to government agencies

Using Pay.gov, the contributing entity (or TPAs or ASO contractors on their behalf) will access the “2016 Transitional Reinsurance Program Annual Enrollment and Contributions Submission Form” to enter the annual enrollment count. Additionally, contributing entities will schedule payment for calculated reinsurance contributions on the payment page.

For further information regarding how to make a reinsurance contribution, select the link under Educational Resources.

Contact Us

Please email questions regarding Reinsurance Contributions to:

reinsurancecontributions@cms.hhs.gov .