Transitional reinsurance program for individual market in each State

42 U.S. Code § 18061. Transitional reinsurance program for individual market in each State

(a) In generalEach State shall, not later than January 1, 2014
(1)
include in the Federal standards or State law or regulation the State adopts and has in effect under section 18041(b) of this title the provisions described in subsection (b); and
(2)
establish (or enter into a contract with) 1 or more applicable reinsurance entities to carry out the reinsurance program under this section.
(b) Model regulation
(1) In generalIn establishing the Federal standards under section 18041(a) of this title, the Secretary, in consultation with the National Association of Insurance Commissioners (the “NAIC”), shall include provisions that enable States to establish and maintain a program under which—
(A)
health insurance issuers, and third party administrators on behalf of group health plans, are required to make payments to an applicable reinsurance entity for any plan year beginning in the 3-year period beginning January 1, 2014 (as specified in paragraph (3); [1] and
(B)
the applicable reinsurance entity collects payments under subparagraph (A) and uses amounts so collected to make reinsurance payments to health insurance issuers described in subparagraph (A) that cover high risk individuals in the individual market (excluding grandfathered health plans) for any plan year beginning in such 3-year period.
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