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Insurers to receive federal funds for ACA losses

To try to keep the costs of health insurance premiums low during the next open enrollment period, the Obama administration has altered aspects of the Affordable Care Act to provide insurers with additional funds.

According to the Los Angeles Times, the move is to provide insurers with a backup in case they lose money due to the ACA. While the news source reported the majority of health insurance companies won't need the funds within the next few years because there are provisions within the ACA to protect them, the additional money will help insurers provide ACA-compliant health plans that are still affordable. 

The Daily Mail, a news source in the U.K., reported the federal funds could end up covering a large percentage of insurers' monetary shortfalls - between 50 and 80 percent - over three years. How it works, according to the Daily Mail, is that if insurers have claims that are more expensive than they previously anticipated, they would be able to receive money to cover half of the difference.

For public and state workers, this could help keep insurance benefits premiums low next year if they seek coverage through the exchanges.

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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Valerie Ortiz

Valerie Ortiz

Over the past 20 years, Valerie Ortiz has worn many hats at National Insurance Services. She currently heads up NIS’ Marketing Team where she helps to create and execute employee benefit communications based upon our public sector clients’ needs. Valerie brings order to the chaos and has a zeal for detail and a talent for organization.