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

HPC Committees Comment on Proposed Rule on Affordability of Employer Coverage for Related Individuals

The Health Practice Council’s Individual and Small Group Markets Committee and Active Benefits Subcommittee submitted comments to the Internal Revenue Service (IRS) on the proposed rule for...
Topics: Benefits
Date Published: 06/06/2022
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Committee Comments on Draft 2023 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: 01/31/2022
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HPC Committees Comment on 2023 NBPP

The Health Practice Council’s Individual and Small Group Markets Committee, Risk Sharing Subcommittee, and Health Equity Work Group submitted a comment letter to the Centers for Medicare &...
Date Published: 01/26/2022
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Comment Letter to CMS/CCIIO on Exposure Draft of Risk Adjustment Technical Paper

The Risk Sharing Subcommittee submitted comments to the Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight (CCIIO) on the HHS-Operated Risk...
Date Published: 11/24/2021
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Drivers of 2022 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
Date Published: 09/02/2021
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Committee/Subcommittee Comments to CMS on Payment Parameters Proposed Rule

The Individual and Small Group Markets Committee and its Risk Sharing Subcommittee comments to the Centers for Medicare & Medicaid Services (CMS) on the proposed rule, Updating Payment...
Date Published: 07/28/2021
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Committee/Subcommittee Comments to HHS, DOL, and the Treasury on the No Surprises Act

The Health Practice Council’s Individual and Small Group Markets Committee and the Active Benefits Subcommittee comments to the Departments of Health & Human Services, Labor, and the Treasury...
Topics: Benefits
Date Published: 06/25/2021
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Committee/Subcommittee Comments to Treasury, DOL, and HHS, on Insurance and Health Plan Coverage of COVID-19 Testing

The Individual and Small Group Markets Committee and the Active Benefits Subcommittee submitted comments to the Department of the Treasury, the Department of Labor (DOL), and the Department of...
Topics: Benefits
Date Published: 02/11/2021
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Committee/Subcommittee Comment to CMS on Payment Parameters Proposed Rule

The Individual and Small Group Markets Committee and its Risk Sharing Subcommittee comments to the Centers for Medicare & Medicaid Services (CMS) on the Proposed Notice of Benefit and Payment...
Date Published: 12/30/2020
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Committee Comments on 2021 Actuarial Value (AV) Calculator

Comments from the Individual and Small Group Markets Committee to the Center for Consumer Information & Insurance Oversight (CCIIO) expressing concerns on the claims data updates finalized in the...
Date Published: 11/12/2020
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Drivers of 2021 Health Insurance Premium Changes: The Effects of COVID-19

Individual and Small Group Markets Committee issue brief outlining the major factors driving premium changes for the next plan year.  This year’s issue brief focuses primarily on the impact of...
Date Published: 06/09/2020
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Individual and Small Group Markets Committee and Risk Sharing Subcommittee Comments on the Proposed Rule for the 2020 NBPP

Comments of the Individual and Small Group Markets Committee and Risk Sharing Subcommittee on the proposed rule for the 2020 Notice of Benefit and Payment Parameters (NBPP).
Date Published: 03/02/2020
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Wellness Program Demonstration Project in the Individual Market

Individual and Small Group Markets Committee comments on the September 30, 2019 bulletin, Opportunity for States to Participate in a Wellness Program Demonstration Project to Implement...
Date Published: 01/14/2020
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Committee Comments on Changes to RADV timing in the final 2020 NBPP and related documents

Individual and Small Group Markets Committee sent comments to Centers for Medicare & Medicaid Services on rules finalized in the 2020 Notice of Benefit and Payment Parameters (NBPP) concerning risk...
Date Published: 10/03/2019
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Drivers of 2020 Health Insurance Premium Changes

Individual and Small Group Markets Committee issue brief outlines the major drivers behind why 2020 premiums could differ from those in 2019. The brief focuses primarily on the individual market, yet...
Date Published: 06/27/2019
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Nearly a Decade Later the ACA is...

This presentation was a session at the SOA Health Meeting which reviewed the challenges the Affordable Care Act (ACA) has faced since its enactment in 2010 and will looked forward to where it’s...
Date Published: 06/24/2019
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Committee Comments on Selling Insurance Across State Lines

Individual and Small Group Markets Committee comments in response to the Department of Health and Human Services’ request for information on selling insurance across state lines through Health Care...
Date Published: 05/06/2019
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2020 Benefit and Payment Parameters Proposed Rule

Individual and Small Group Markets Committee and Risk Sharing Subcommittee comments on the proposed rule for the 2020 notice of benefit and payment parameters (NBPP).
Date Published: 02/18/2019
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Comments on (1332) State Relief and Empowerment Waivers Guidance

Committee comments on the Oct. 22, 2018 guidance from the Department of the Treasury and the Department of Health and Human Services on State Relief and Empowerment Waivers under Section 1332 of the...
Date Published: 12/17/2018
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Comments on Health Reimbursement Arrangements and Other Account-Based Group Health Plans

Committees comment on the proposed rule regarding Health Reimbursement Arrangements (HRAs), that would create two new types of HRAs—Integrated HRAs and Excepted Benefit HRAs—which would allow...
Date Published: 12/12/2018
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