ACA Reinsurance Fee Refund Requests Due April 30

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ACA Reinsurance Fee Refund Requests Due April 30
Calendar28 April 2015

Contributing entities, including self-insured employers sponsoring major medical coverage, have until April 30 to request a refund for certain overpayments of the Affordable Care Act (ACA)'s transitional reinsurance fee. The Department of Health and Human Services (HHS) deadline applies to overpayments caused by errors in enrollment counts — on which the fee is based — due to misapplication of permitted counting methods or inclusion of exempt individuals.

Employers and other contributing entities that overpaid the reinsurance fee due to errors in how the counting method was applied or inclusion of exempt individuals must follow a specific process to correct the error. While guidance has never been issued explaining this process, it apparently involves requesting a full refund, submitting a corrected enrollment count to HHS, and paying the recalculated reinsurance fee. Refund requests should be sent to reinsurancecontributions@cms.hhs.gov.

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