Reinsurance-Contributions (RIC) FAQ
Guidance for FAQ regarding Contributing Entity and Other
Program Area: Reinsurance-Contributions (RIC)
Question: Can a Third Party Administrator (TPA) or insurance company that administers its own plan for its employees qualify for the self-insured, self-administered exemption for the 2015 and 2016 Benefit Years for those enrollees?
Answer: Applicable to Reinsurance Contributions 2015 and 2016 Benefit Years: A TPA or health insurance issuer that provides self-insured, self-administered coverage for purposes of the definition of 'Contributing Entity' in 45 CFR 153.20 would be exempt from making reinsurance contributions for the 2015 and 2016 Benefit Years.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 07, 2014
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