Considerations for Calculating Cost-Sharing Reduction Load Factors
Nov. 29, 2022 | Noon to 1:30 p.m. EST | USQS CE Available
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ABOUT THIS WEBINAR
Under the Affordable Care Act, cost-sharing reductions (CSRs) are available for eligible enrollees in the individual health insurance market. Initially, the federal government reimbursed insurers for CSRs, but that funding was terminated in 2017. In 2018, insurers began increasing their premiums to account for the lack of federal CSR funding. These CSR load factors can be calculated in various ways, and the choice of approach can have significant implications for the actuarial soundness of the load, the amount of the federal premium tax credits, consumer subsidies, plan pricing, and the financial performance of issuers in the individual marketplaces.
During this webinar, members of the Individual and Small Group Markets Committee and its Risk Sharing Subcommittee will provide more insight into this issue, as well as detailed information regarding the different methodologies used for calculating CSR loads, the different loads those different approaches can produce, and the implication of CSR loads that may be either too high or too low relative to actual experience.
Register now to join us for this informative conversation.
Additional Resources:
- Comment letter to the Center for Consumer Information & Insurance Oversight (CCIIO), Centers for Medicare & Medicaid Services (CMS), on Cost-Sharing Reduction Premium Load Factors.
SPEAKERS
- Donna C. Novak, MAAA, ASA, FCA, Vice Chairperson, Individual & Small Group Markets
Committee American Academy of Actuaries - Jason Karcher, MAAA, FSA, Chairperson,
Risk Sharing Subcommittee American Academy of Actuaries
MODERTOR
- Joyce Bohl, MAAA, ASA
Chairperson, Individual and Small Group Markets Committee
CONTINUING EDUCATION
The American Academy of Actuaries believes in good faith that attendance at this live webinar constitutes an organized activity as defined under the current Qualification Standards for Actuaries Issuing Statements of Actuarial Opinion in the United States, and that attendees may earn up to 1.8 organized continuing education (CE) credits for attending this live webinar.
GROUP REGISTRATION POLICY
While many people are working remotely, the Academy is offering group registrations to employers of our members. Please read our group registration policy carefully.
The lead registrant must be an Academy member. You will receive one computer connection (link) to the webinar that will allow you to broadcast the live event to your remote attendees, who must be members of the same company, using a platform (Zoom, WebEx etc.) of your company’s choosing. Audio is streamed via the web.
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* The Academy does not take responsibility for ensuring the live webinar can be seen and heard through the registrant’s broadcasting platform. Group registration fees for the live webinar do not include access to the archive recording, except for Academy members who may access an archive of all Academy webinars in the members-only section of the Academy’s website.
QUESTIONS: For information about this webinar, contact Gwen Pegram at webinarhelp@actuary.org.