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Tuesday, 24 November 2015 13:38

2016 Connect For Health Assessment Fees

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In 2013, the Legislature passed a law that allocated federal grants to support Connect for Health Colorado - Colorado’s state insurance exchange. Beginning in 2015, Colorado will be self-sustaining through a Special Assessment Fee which is applied to all health plans in Colorado, including group insurance and partially self-funded arrangements, for employers of all sizes. 

Here are a few details you need to know:

  • The 2015 assessment is currently $1.25 per member / per month
  • In 2016, it will be $1.80 per member / per month
  • Calendar year 2016 is the last year this assessment is available under current statute

How your health insurance company will collect this fee depends on which carrier you have.  In general, carriers will include the fee as an additional line item on the bill, rather than building it into your premium, unless noted otherwise.

  • Anthem – Line item for all groups
  • Aetna – Currently planning to charge only groups 100+; process to be determined
  • Cigna – Line item for all groups
  • Humana – Since they are in the process of being acquired by Aetna, they’ll follow Aetna’s process in 2016
  • Kaiser –  Will begin charging in 2016 but process to be determined
  • Rocky Mountain Health Plans – Line item for all groups
  • United Healthcare – Line item for all groups

For more information about this fee, please go to www.connectforhealthco.com.

Read 6963 times Last modified on Monday, 14 September 2020 20:00
Juliet Fitzgibbons

Juliet joins Fall River as an Account Executive and brings over 15 years of prior broker and account management experience. Her experience brings extensive knowledge on employee benefit programs, account management and creative cost-saving strategies and compliance solutions for employers of various sizes.

She is responsible for new business proposals, client renewals including plan benchmarking, rate analysis and mid-year reviews. She helps clients navigate healthcare systems and educates employers and employees through open enrollment meetings and day-to-day service requests. Juliet joined Fall River in 2015.