C.F.R. » Title 45 » SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS › PART 153—STANDARDS RELATED TO REINSURANCE, RISK CORRIDORS, AND HHS RISK ADJUSTMENT UNDER THE AFFORDABLE CARE ACT › Subpart C—State Standards Related to the Reinsurance Program

45 C.F.R. § 153.235

Allocation and distribution of reinsurance contributions

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(a) Allocation of reinsurance contributions. HHS will allocate and disburse to each State operating reinsurance (and will distribute directly to issuers if HHS is operating reinsurance on behalf of a State), reinsurance contributions collected from contributing entities under the national contribution rate for reinsurance payments. The disbursed funds would be based on the total requests for reinsurance payments made under the national reinsurance payment parameters in all States and submitted under § 153.410, net of any adjustment under § 153.230(d).

(b) Excess reinsurance contributions. Any reinsurance contributions collected from contributing entities under the national contribution rate for reinsurance payments for any benefit year but unused for the applicable benefit year will be used for reinsurance payments under the national reinsurance payment parameters for subsequent benefit years.

[78 FR 15527, Mar. 11, 2013]
Notes of Decisions
Cited in 1 case, 2019–2019 · leading case: Conway v. United States (Fed. Cl. 2019).
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Conway v. United States (Fed. Cl. 2019). “” 45 C.F.R. § 153.235 (emphasis added). HHS’s regulation further provides, “If a State establishes a reinsurance program, the State must ensure that the applicable reinsurance entity .”
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