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Final Notice of ACA Benefit & Payment Parameters for 2022

2022 benefit payment parameters

1 minute read

The Department of Health and Human Services released its second Notice of Benefit and Payment Parameters (NBPP) for 2022 which finalized the remainder of the standards included in the proposed notice issued at the end of 2020. The first final NPBB was published in January 2021.

The second NPBB discusses the additional benefit and payment parameters under the Affordable Care Act (ACA) that apply for the 2022 benefit year.

  • Annual out-of-pocket maximum limits will increase to $8,700 self-only coverage and $17,400 family coverage
  • Required contribution percentage for catastrophic coverage eligibility will decrease to 8.09%
  • An additional special enrollment period for Exchange coverage under certain circumstances

Download the bulletin for more details.

This blog is intended to be a compilation of information and resources pulled from federal, state, and local agencies. This is not intended to be legal advice. For up to the minute information and guidance on COVID-19, please follow the guidelines of the Centers for Disease Control and Prevention (CDC) and your local health organizations.

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National Insurance Services is not a law firm and no opinion, suggestion, or recommendation of the firm or its employees shall constitute legal advice. Readers are advised to consult with their own attorney for a determination of their legal rights, responsibilities and liabilities, including the interpretation of any statute or regulation, or its application to the readers’ business activities.

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Steve Smith

Steve Smith

Steve Smith, Employee Benefits Consultant for National Insurance Services, has his energy level permanently set at “high.” His maxim is “work hard, play hard.” Steve’s an expert in getting groups of people working together for a higher cause. Minnesota schools, cities, and counties rely on Steve’s unique and creative ideas of engaging employees in their own health and wellness to lower utilization trends. He has 20+ years in the health insurance field doing compliance, cost mitigation, utilization, analytics, wellness plans, and strategic planning. Steve is a licensed insurance agent and holds the designations for Managed Healthcare Professional (The Health Insurance Association of America), Certified Patient Protection and Affordable Care Act Professional (National Association of Health Underwriters), and Group Benefits Disability Specialist (Hartford School of Insurance). He specializes in Employee Benefits Consulting for Minnesota schools, cities, and counties including fully insured, self-insured, and stop-loss plans.