HHS Issues Final Notice of Benefit and Payment Parameters

o   Reinsurance Fee – for 2016, the annualized per enrollee rate will be $27.  This was originally $63 in 2014 and is $44 this year.  For fully-insured plans, this fee is built into the premiums.  For self-insured plans, the fee is submitted separately.

o   Open Enrollment Period for 2016 – for the Marketplace, this will begin on November 1, 2015 and run through January  31, 2016.

o   Out-of-Pocket (OOP) Maximums – these will increase to $6850 for self-only and $13,700 for family coverage in 2016.  Additionally,  the out-of-pocket maximum is embedded – so 1 person can never exceed the individual OOP max.

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