What is the Fee?

Section 1341 of the Affordable Care Act (ACA) established a transactional reinsurance program to stabilize premiums in the individual market inside and outside of marketplaces. This program collects contributions from contributing entities to fund reinsurance payments to:

The Reinsurance Fee equals the average number of covered lives in the calendar year multiplied by the national contribution rate, which is $44 for 2015.

Who Needs to pay the Fee?

Employers sponsoring self-funded group health plans are required to submit their average, covered lives data (as described above) and schedule their Reinsurance Fee payments no later than November 16, 2015. Download a copy of the form.

Key Dates

For more information on how Paypro can assist you with Benefit Administration and reducing your healthcare costs while preserving employee benefits, please contact a Paypro Benefits Specialist today!