Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 29, 2014

Program Area: Reinsurance-Contributions (RIC)

Question: If a third party is submitting reinsurance contribution payments on behalf of all of its health plans, does the payment for all Contributing Entities have to be made at one (1) time or can the payments be at different times per Contributing Entity?

Answer: Applicable to All Reinsurance Contributions Benefit Years: The reinsurance contributions submission process on Pay.gov has flexibility to choose either a combined (single payment) or two (2)-part payment process that allows scheduling of payments at different times for each filing. Therefore, if a Reporting Entity has Contributing Entities who wish to pay using different collection schedules, more than one (1) "ACA Transitional Reinsurance Program Annual Enrollment and Contributions Submission Form" (Form) would be required, grouping together the Contributing Entities that plan to make a combined (single payment) and the Contributing Entities that plan to make a two(2)-part payment. Also, if each Contributing Entity is paid from different banking accounts separate Form filings will be required from each of the other entities. Regardless of the payment option selected, a Contributing Entity must submit its Annual Enrollment Count and schedule its reinsurance contribution payment date(s) by completing the Form through Pay.gov. Combined Collection (full contribution amount- One (1) payment) 2014 Benefit Year $63.00 due January 15, 2015 2015 Benefit Year $44.00 due January 15, 2016 2016 Benefit Year $27.00 due January 17, 2017 Two (2) Separate Payments 2014 Benefit Year First Collection: $52.50 due January 15, 2015 Second Collection: $10.50 due November 16, 2016 2015 Benefit Year First Collection: $33.00 due January 15, 2016 Second Collection: $11.00 due November 15, 2016 2016 Benefit Year First Collection: $21.60 due January 17, 2017 Second Collection: $5.40 due November 15, 2017 If a two (2)-part payment is chosen, the Contributing Entity should file the Form for the Second Collection on the same day as the Form filing for the First Collection. To do this, duplicate the Form filing for the First Collection and submit it to reflect the Second Collection. You must schedule the Second Collection remittance prior to November 15, 2017. The Second Collection amount will not be withdrawn until the scheduled date or the next business day if the scheduled payment date is a weekend or a Federal Reserve holiday. The Annual Enrollment Count in the Form (and Supporting Documentation (.CSV file), if applicable) for both the First and Second Collections must match. As mentioned before, each Form submission is related to a single bank account. To schedule different payments on different dates or from different bank accounts, a Reporting Entity would simply submit additional Forms for each Contributing Entity.

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