The final installment of the Transitional Reinsurance fee is due by Nov. 15 for those employers who selected to pay the 2016 fee in two installments.
For the final year payment, self-funded employers who selected to pay in one installment paid the $27.00 per covered life Jan. 17. Those self-funded employers have no further payment obligations.
For those employers who selected two installments, the payment schedule is:
$21.60 per covered life – payment made Jan. 17
$5.40 per covered life – due Nov. 15
Under the Affordable Care Act (ACA), the Transitional Reinsurance fee has been paid by health insurance issuers and self-funded group health plans to fund a Transitional Reinsurance Program in place from 2014 to 2016.
For fully insured clients, UnitedHealthcare pays the fee.
For self-funded employers, the employer is required to pay the fee.
For the final year, the fee was determined to be $27 per covered life and was based on enrollment in major medical coverage for the first nine months of 2016, regardless of the plan’s renewal date.
Employers were responsible for submitting their enrollment count and selecting their payment date(s) on the government portal (pay.gov) last fall.
Contact your UnitedHealthcare representative with questions.