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Public Forum
Public Forum Information
OCI will hold its annual Public Forum to provide updates on the progress of the 1332 Waiver and accept public comments. The public is invited to join in-person or virtually.
Date: Wednesday, December 4th, 2024
Time: 10:00 AM EST
Join in Person:
Peach Room of the Office of Commissioner of Insurance
Ninth Floor, West Tower, Floyd Building
2 Martin Luther King Jr. Dr.
Atlanta, GA 30334Join Virtually:
Meeting ID: 277 828 393 643
Passcode 9Y2msT
Dial in by phone:
Dial-In Number: +1 929-352-2216
Conference ID: 977 024 955#Individuals with disabilities who require special accommodations, including auxiliary communicative aids and services, or individuals who require language translation services during the public forum should contact the Reinsurance Team at [email protected] by November 30, 2024 to ensure any necessary accommodations can be provided.
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Background
Plan Year 2024 and 2025
For PY 2024 and 2025 the parameters for the Reinsurance Program are:- Attachment point of $35,000
- Cap of $500,000
Tier 1 Area Tier 2 Area Tier 3 Area Rating Regions 2, 3, 5, 8, 14 1, 7, 9, 12, 16 4, 6, 10, 11, 13, 15 Coinsurance % 15% 45% 80% -
Documents
1332 Waiver
Governor Brian P. Kemp signed Senate Bill 106, The Patients First Act, into law on March 27, 2019, amending Article 7 of Chapter 4 of Title 49 and Title 33 of the Official Code of Georgia. The Patients First Act authorizes the Governor to submit and implement one or more Section 1332 Waiver applications to the United States Department of Health and Human Services (HHS) and the Department of Treasury (Treasury) on or before December 31, 2021, to pursue innovative strategies for providing residents with access to high-quality, comprehensive, and affordable health insurance.
The goals of the reinsurance program are to stabilize the market by reducing premiums and to attract/retain carriers across the State. All Affordable Care Act (ACA) -compliant, non-grandfathered individual market plans that cover Georgia residents are eligible for reinsurance claims payments. This includes all Qualified Health Plans (QHPs), and major medical plans sold on and off the federal exchange or Georgia Access.
Plan Year 2024 and 2025
For PY 2024 and 2025 the parameters for the Reinsurance Program are:
- Attachment point of $35,000
- Cap of $500,000
The coinsurance rate for each tier area is listed in the table below:
| Tier 1 Area | Tier 2 Area | Tier 3 Area | |
| Rating Regions | 2, 3, 5, 8, 14 | 1,7,9, 12, 16 | 4, 6, 10, 11, 13, 15 |
| Coinsurance % | 15% | 45% | 80% |
