Jersey City, New Jersey, Did Not Always Comply with Early Retiree Reinsurance Program Requirements.

摘要

The Patient Protection and Affordable Care Act, P.L. No. 111-148, and the Health Care and Education Reconciliation Act of 2010, P.L. No. 111-152 (together, the Affordable Care Act), enacted on March 23, 2010, established the Early Retiree Reinsurance Program (ERRP). The ERRP is a temporary reinsurance program designed to reimburse participating employment-based plans for a portion of the cost of providing health insurance to early retirees aged 55 or older and to certain eligible family members. We conducted this review of the ERRP program because of the large amount of funding for this new program, the short timeframe for which the ERRP program would be in existence, and the amount of payments to be made. Our objectives were to determine whether the claims that Jersey City, New Jersey (the City), submitted to the Center for Consumer Information Insurance Oversight (CCIIO) for ERRP reimbursements, and the Citys use of the reimbursements, were in compliance with Federal requirements and CCIIO guidance.