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December 12, 2011
In This Issue
House Small Business Hearing To Address the MLR’s Impact on Small Business Owners
GOP Leaders Request Information on HHS and NAIC’s Conduct on MLR
Congress Will Be Coming Home for Christmas, But Nobody’s Sure Exactly When
HHS Releases Final CO-OP Plan Rule
Early Retiree Reinsurance Program Wrapping Up
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House Small Business Hearing To Address the MLR’s Impact on Small Business Owners

The House Small Business Subcommittee on Investigations, Oversight and Regulations has scheduled a hearing for Thursday, December 15 at 10:00 a.m. EST entitled "New Medical Loss Ratios: Increasing Health Care Value or Just Eliminating Jobs?" Read More

GOP Leaders Request Information on HHS and NAIC’s Conduct on MLR

The Republican members of the House Energy and Commerce Committee have sent a formal letter of inquiry to the past leaders of the National Association of Insurance Commissioners (NAIC) in order to establish if the Department of Health and Human Services may have inappropriately influenced the NAIC’s actions on its initial medical loss ratio (MLR) recommendations last year. The inquiry appears to be focused on whether or not HHS pushed state regulators into a set of policy recommendations that could hurt health insurance agents and brokers. Read More

Congress Will Be Coming Home for Christmas, But Nobody’s Sure Exactly When

Congressional leaders hoped to get a jump on the DC traffic and adjourn for the holiday break this Friday, December 16. But based on the number of issues they still need to resolve, even though it’s only Monday, we are predicting a working weekend in their future. Read More

HHS Releases Final CO-OP Plan Rule

HHS released a final regulation on Thursday, December 8 to affect the PPACA requirement that at least one health insurance cooperative (CO-OP) be established in every state by 2014 and sold through state-based insurance exchanges as an alternative to traditional private health insurance coverage. The regulation governs how $3.8 billion in federal funds set aside by PPACA to provide loans to aspiring CO-OP founders to serve as start-up money and the necessary capital reserves needed to pay initial health care claims. Read More

Early Retiree Reinsurance Program Wrapping Up

News broke last week that the Early Retiree Reinsurance Program, one of the first programs created by PPACA, will cease to be operational in short order. The $5 billion program was created in July of 2010 to help offset employer costs associated with providing health coverage benefits to early retirees and their eligible spouses, surviving spouses, and dependents. Read More

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