Treatment of Cost-Sharing Reductions in 2018 Individual Health Plan Rate Filings

STATE OF MAINE DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION BUREAU OF INSURANCE 34 STATE HOUSE STATION AUGUSTA, MAINE 04333-0034 Paul R. LePage GOVERNOR Eric A. Cioppa Superintendent PRINTED ON RECYCLED PAPER O F F IC E S L O C A T ED A T 76 N O R T H ER N AV EN U E, G A R D IN ER, M AI N E 04345 www.maine.gov/insurance Phone: (207) 624-8475 TTY: Please call Maine Relay 711 Customer Complaint: 1-800-300-5000 Fax (207) 624-8599 Bulletin 422 Treatment of Cost-Sharing Reductions in 2018 Individual Health Plan Rate Filings This Bulletin provides guidance for carriers issuing individual health plans regarding the manner in which cost-sharing reductions (CSRs) should be addressed in their 2018 rate filings, in light of the continuing uncertainty over the legal status of the reimbursements owed to carriers. The due date for the initial baseline rate filing remains June 2, 2017, as provided in Bulletin 421. Those rate filings shall be based on the assumption that carriers will continue to be reimbursed for their CSR payments as specified in the Affordable Care Act. On or before June 23, 2017, unless definitive Congressional or judicial action is taken that is sufficient to ensure that CSR reimbursements will be fully funded through December 31, 2018, carriers shall, if applicable, submit amended or alternative filings that include the rates they intend to use in 2018 in the event that CSR reimbursements terminate. May 26, 2017 Eric A. Cioppa Superintendent of Insurance NOTE: This Bulletin is intended solely for informational purposes. It is not intended to set forth legal rights, duties, or privileges, nor is it intended to provide legal advice. Readers should consult applicable statutes and rules and contact the Bureau of Insurance if additional information is needed.