Insurance Market Reform

The purpose of this bulletin is to provide information and solicit comments on the regulatory approach that the Department of Health and Human Services (HHS) plans to propose to define actuarial value (AV) for qualified health plans (QHPs) and other non-grandfathered coverage in the individual and small group markets under the ACA.

The Colorado Division of Insurance's annual report to the legislature on the cost of insurance for Coloradans reports that eighty-one percent of the health insurance premiums collected in 2010 by Colorado carriers went directly to the cost of providing health care services, up from just under 77 percent in 2009.

This Milliman analysis was conducted for Washington and identified essential health benefits not generally covered by the benchmark plan options outlined in the December 16, 2011 bulletin.

This fact sheet summarizes key provisions in the Affordable Care Act that may affect small businesses and their employees, and explains the law’s small business tax credits and the Small Business Health Options Program exchanges to be established in each state by 2014.

The United States Department of Treasury, Labor, and Health and Human Services have released final rules on the simplified coverage summaries health plans are required to provide under the health reform law.