State/Legislative Regulatory News

Exclusive Reporting for the Week of April 21, 2014

April 21, 2014 — This is your weekly update of state legislative/regulatory developments affecting companies involved in the self-insurance/alternative risk transfer marketplace. Should you have any questions on information provided in these reports and/or would like to alert SIIA to new state legislative/regulatory activity (health care, workers’ compensation and/or captive insurance matters) we may have missed, please contact Adam Brackemyre, Director of State Government Relations directly at 202/463-8161, or via e-mail at

Oregon- Transitional Reinsurance Assessment
An Oregon state official confirmed to SIIA that stop-loss plans will be assessed about $4 per member per month (PMPM) later this year to fund the Oregon transitional reinsurance pool.

Authorized in 2013 legislation, HB 3458, the reinsurance fund is part of a three-year transition program driven by passage and enactment of the Affordable Care Act. The 2014 budget for the program is capped at $72 million, so the assessment may be slightly lower than $4 PMPM depending on the number of people who enroll in coverage; Oregon is one of the few states concluding open enrollment at the end of April, so the total assessable pool isn’t known at this time.

Because of the extended enrollment period, the state official said that it is reasonable to assume that the first assessment will not be due until May or June.

SIIA will provide further updates as they become available.

Connecticut- Assessment Update
SIIA members and allied stakeholders continue to meet with influential members of the state Legislature and urge them to remove the self-funded assessment in the budget bill as previously reported.

Grassroots advocacy could make a big difference, as some members are more amendable to removing the assessment than others. This week, one SIIA member contacted its clients and urged them to contact their Representative and Senator to oppose the assessment.

If you have Connecticut clients or business partners who want to oppose this new assessment, contact Adam Brackemyre right away to provide guidance on how you can get involved.

New York – Stop-Loss Legislation
SIIA has retained a well-connected state lobbyist to supplement its efforts to pass S. 6917, which will protect the ability of organizations in New York with 51-100 employees/members to purchase stop-loss insurance when the small group market definition changes after January 1, 2016.

This effort will include a coordinated grassroots advocacy campaign where affected organizations will be encouraged to contact their elected representatives to request support of the self-insurance “fix” legislation. Please contact Adam Brackemyre right away if you would like to participate as part of this grassroots strike team.

SIIA is also reaching out to key media outlets in New York to further raise the profile of this important issue for the state’s small business community.

SIIA Legislative/Regulatory Conference
As a last-minute reminder, SIIA’s Legislative/Regulatory Conference is scheduled for April 23-24, 2014 in Washington, DC. Conference details, including registration forms, can be accessed on-line at, or by calling 800/851-7789.