A federal agency has posted a small package of spreadsheets that could be the focus of years of battles between insurers and regulators.
The Center for Consumer Information & Insurance Oversight (CCIIO) is creating the wrestling ground by posting draft versions of the Risk Corridors 2014 Plan-Level Data Form.
Insurers that sell qualified health plans (QHPs) through the Patient Protection and Affordable Care Act (PPACA) exchange system are supposed to use the form to tell CCIIO how much money they made or lost on QHP business. CCIIO is supposed to get the highly profitable issuers to pay money in to the system, then use the money to help the issuers with poor operating results.
When an issuer fills out the form, it’s supposed to list each plan’s total billable premium and the plan’s share of marketwide premiums for non-grandfathered, PPACA-compliant plans. There are separate sections for individual product information and small-group plan information.
What Your Peers Are Reading
See also: Do you want to build an exchange plan?