Reminder: 2016 Annual Enrollment Counts for ACA Transitional Reinsurance Program Due November 15

Key Deadlines for 2015 & 2016 Benefit Years

Employers sponsoring certain self-insured group health plans (“contributing entities”) that are subject to the Affordable Care Act’s transitional reinsurance program must submit their 2016 Annual Enrollment Contributions Submission Form and schedule payment for the 2016 benefit year no later than November 15, 2016.

Reinsurance Contribution Process
To successfully complete the reinsurance contribution process, contributing entities (or third-party administrators or administrative services-only contractors on their behalf) must register on Pay.gov (or confirm a password if such entities registered for the previous benefit years of the program) and submit their annual enrollment counts of the number of covered lives of reinsurance contribution enrollees for the 2016 benefit year using the 2016 form.

Note: For 2015 and 2016, self-insured plans that do not use a third-party administrator to perform their claims processing, claims adjudication, and enrollment functions do not have to pay reinsurance contribution fees.

Upcoming Deadline for 2015 Contributions
As a reminder, the second contribution for the 2015 benefit year (of $11.00 per covered life) is also due no later than November 15, 2016, for contributing entities that opted not to pay the entire 2015 benefit year contribution in one payment.