Insurance Market Reform

Access resources specifically focused on insurance market reform provisions in PPACA and related analysis.

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DOL-Essential Health Benefits Survey
04/19/2011
The Labor Department released its survey to help HHS determine what is an "essential benefit" which will determine what insurers will have to cover in the state exchanges. The study mainly looked at large employer benefits.
GAO-Encouraging Enrollment in Private Insurance Plans
04/13/2011
The Government Accountability Office (GAO) issued a report outlining alternatives to the ACA's individual mandate provision by incentivizing consumers to voluntarily purchase private health insurance.
DOL-Issues Guidance on Grandfather Plans under the ACA
04/12/2011
The Labor Department's Employee Benefits Security Administration posted guidance on grandfathered health plans under the ACA.
DOL-Annual Report to Congress on Self-Insured Group Health Plans
04/08/2011
The Patient Protection and Affordable Care Act (ACA) mandates the Secretary of Labor to provide Congress with an annual report containing general information on self-insured employee health benefit plans and financial information regarding employers that sponsor such plans.
HHS-MLR Interim Final Rule
03/31/2011
The ACA requires that carriers covering large employers spend at least 85 percent of premiums paid on claims or quality improvements, and carriers covering small group and individual insurers spend 80 percent, or refund the difference to policyholders, beginning in 2012.