Individual and Small Group Markets Committee

Individual and Small Group Markets Committee

The Individual and Small Group Market Committee furthers the actuarial profession’s involvement in policy issues related to both the small group and individual medical markets. The committee monitors federal legislation and regulatory activities and is charged with developing background papers intended to inform and educate senior federal policy makers on issues related to the small group and individual markets.

Related Publications

Committee Comments on House Budget Resolution

The Individual and Small Group Markets Committee submitted comments to the U.S. House Committee on the Budget on the reconciliation legislation advancing in the House of Representatives to comply...
Date Published: 05/20/2025
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Health Issue Brief Examines Access, Affordability, Choice, and Competition in the Individual Market

An issue brief from the Individual and Small Group Markets Committee, Ensuring Access, Affordability, Choice, and Competition in the Individual Health Insurance Market, provides an overview of how...
Date Published: 03/06/2025
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Premium Drivers Infographic Released

Released alongside the annual issue brief, The Individual and Small Group Markets Committee released an infographic, "Drivers of 2025 Health Insurance Premium Changes—Effects on Premiums". The...
Date Published: 12/04/2024
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Committee Comments on 2026 NBPP

The Health Practice Council’s Individual and Small Group Markets Committee submitted comments to the Centers for Medicare & Medicaid Services regarding the proposed rule for the 2026 Notice...
Date Published: 11/12/2024
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Academy Updates NAIC on the Drivers of Health Insurance Premium Changes

Academy Senior Health Fellow Cori Uccello presented on the “Drivers of 2025 federal Affordable Care Act (ACA) Health Insurance Premium Changes” to the National Association of Insurance...
Date Published: 08/12/2024
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Premium Drivers Issue Brief Released

The Individual and Small Group Markets Committee released an issue brief, Drivers of 2025 Health Insurance Premium Changes. The brief provides more details on the factors that are likely to drive...
Date Published: 08/09/2024
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Committee Comments on Portable Health Benefits

The Health Practice Council’s Active Benefits Committee and Individual and Small Group Markets Committee responded to the U.S. Senate Committee on Health, Education, Labor and Pensions’...
Topics: Benefits
Date Published: 06/24/2024
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Committee Comments on Gene Therapy RFI

The Health Practice Council’s Health Care Delivery Committee, Individual and Small Group Markets Committee, and Active Benefits Committee responded to the Committee on Health, Education, Labor,...
Topics: Benefits
Date Published: 06/22/2024
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Committees Comment on Definition of Employer-Association Health Plans

The Health Practice Council’s Individual and Small Group Markets Committee and Active Benefits Committee responded to the DOL’s Employee Benefits Security Administration’s proposed rule on...
Topics: Benefits
Date Published: 02/14/2024
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Committees Comment on Definition of Employer—Association Health Plans

The Health Practice Council’s Individual and Small Group Markets Committee and Active Benefits Committee responded to the DOL’s Employee Benefits Security Administration’s...
Topics: Benefits
Date Published: 02/14/2024
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Committee Comments on 2025 NBPP

The Health Practice Council’s Individual and Small Group Markets Committee submitted comments to the Centers for Medicare & Medicaid Services regarding the proposed rule for the 2025 Notice...
Date Published: 01/08/2024
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Committee Comments on Draft 2025 Actuarial Value (AV) Calculator Methodology

The Individual and Small Group Markets Committee submitted comments to the Centers for Medicare & Medicaid Services’ Center for Consumer Information & Insurance Oversight (CCIIO) on...
Date Published: 01/02/2024
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Committees Comment on Short-Term, Limited-Duration Insurance Proposed Rules

The Health Practice Council’s Individual and Small Group Markets Committee, Risk Sharing Subcommittee, and Active Benefits Committee submitted a comment letter to the Department of Health and...
Date Published: 09/11/2023
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HPC Committees Comment on 2024 NBPP

The Health Practice Council’s Individual and Small Group Markets Committee and Risk Sharing Subcommittee submitted a comment letter to the Centers for Medicare & Medicaid Services’...
Date Published: 07/30/2023
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Drivers of 2024 Health Insurance Premium Changes

The Individual and Small Group Markets Committee released its annual issue brief laying out the factors underlying premium rate setting and highlighting the major components driving premium changes...
Date Published: 07/19/2023
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Committee Comments on Draft 2024 Actuarial Value (AV) Calculator Methodology

The Individual and Small Group Markets Committee submitted comments to the Centers for Medicare & Medicaid Services’ Center for Consumer Information & Insurance Oversight (CCIIO) on...
Date Published: 01/12/2023
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Academy Presentation to NAIC on Considerations for Calculating Cost-Sharing Premium Reduction Load Factors

Presentation at the National Association of Insurance Commissioners (NAIC) Affordable Care Act (ACA) State Rate Review Discussion Meeting on Considerations for Calculating Cost-Sharing Reduction...
Topics: NAIC
Date Published: 11/16/2022
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Health Practice Area Comment Letter Submitted to the Center for Consumer Information and Insurance Oversight (CCIIO) on Cost-Sharing Reduction Premium Load Factors

The Individual and Small Group Markets Committee and its Risk Sharing Subcommittee submitted a letter to the CCIIO on cost-sharing reduction (CSR) premium load factors. The letter was also...
Date Published: 09/08/2022
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Drivers of 2023 Health Insurance Premium Changes - Infographic

This infographic illustrates the factors underlying premium rate setting and highlighting the major components driving premium changes in the individual and small group markets for 2023, that are...
Date Published: 06/22/2022
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Drivers of 2023 Health Insurance Premium Changes

The Individual and Small Group Markets Committee released an issue brief laying out the factors underlying premium rate setting and highlighting the major components driving premium changes in the...
Date Published: 06/21/2022
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