The final rule requires that subscribers of nonfederal governmental or other group health plans not subject to ERISA receive the benefit of MLR rebates within three months of receipt of the rebate by their group policyholder, just as subscribers of group health plans subject to ERISA do. In addition, the final rule includes technical clarifications to ensure that issuers correctly exclude federal and state employment taxes, as well as the cost-sharing reduction payments issuers receive from HHS, from MLR and rebate calculations.
• The reinsurance program’s annual contribution rate for 2016.
• The 2016 open enrollment period.
• The 2016 annual limitations on cost-sharing.