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Proposed Rule Would Update 2022 Benefit & Payment Parameters

The Department of Health and Human Services (HHS) recently published a proposed rule that would revise several benefit and payment parameters under the Affordable Care Act (ACA) for the 2022 benefit year. While the proposed changes primarily impact insurers and Exchanges, it’s important to consider that some provisions could also affect employers.

Proposed Changes

  • For the 2022 coverage year and beyond, the rule proposes to lengthen the annual open enrollment period for coverage through all Exchanges to November 1st through January 15th — a one-month increase from the current enrollment dates (November 1st to December 15th). Additionally, the HHS proposes a new monthly special enrollment period through the federal Exchange for individuals who are eligible for the premium tax credit whose household income does not exceed 150% of the federal poverty level.
  • The rule proposes to repeal the Exchange direct enrollment option, which establishes a process for Exchanges to work directly with issuers, agents, and brokers to operate enrollment websites through which consumers can apply for coverage, receive an eligibility determination, and purchase a qualified health plan.
  • The rule also proposes modification to the Section 1332 State Innovation Waiver Process, including changes to many of the policies and interpretations of the guardrails recently issued in the 2022 Notice of Benefit and Payment Parameters.

Click here for additional information regarding the proposed rule.

It is our goal to guide you through pertinent compliance updates. Should you have any questions, please don’t hesitate to contact Creative Benefits, Inc. at 866-306-0200 or solutions@creativebenefitsinc.com.