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Regulation and Compliance > State Regulation

Feds: PPACA Multi-State Plans really do exist

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Officials at the U.S. Office of Personnel Management (OPM) say the Multi-State Plan (MSP) program has about 450,000 enrollees.

Insurers are offering about 200 MSP options in the District of Columbia and 35 states, officials at the OPM National Healthcare Operations division say in a new MSP market overview.

In 2014, insurers were offering about 150 MSP options in the District of Columbia and 30 states. MSPs had about 370,000 in 2014 enrollees.

See also: Economist: Give would-be multi-state plans a discount

Drafters of the Patient Protection and Affordable Care Act (PPACA) created MSPs in an effort to create health insurers that could escape from some of the usual state-by-state oversight that affects insurers with operations in multiple states.

PPACA drafters put the MSP system under the jurisdiction of OPM, which runs federal employees’ popular health benefits program.

In practice, OPM has been reluctant to interfere with state insurance regulators’ efforts to oversee health plans.

MSPs do not necessarily offer individual enrollees multi-state coverage, and the MSPs do not necessarily offer enrollees access to providers in more than one market, officials say.

See also: Feds still working on multistate plans


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