Final 2018 Notice of Benefit and Payment Parameters
On Dec. 16, 2016, the Department of Health and Human Services (HHS) released its Final Notice of Benefit and Payment Parameters for 2018. This rule describes benefit and payment parameters under the Affordable Care Act (ACA), applicable for the 2018 benefit year. Updates standards included in the rule relate to:
- Annual limitations on cost-sharing
- The individual mandate’s affordability exemption; and
- special enrollment periods in the exchange.
The final rule also enhances standards for state-based Exchanges on the federal platform (SBE-FPs) and creates three new sets of six standardized benefit plan options in the Federally Facilitated Exchange (FFE).
Finally, the rule provides additional clarity on the special enrollment periods available through the FFE, and updates the ACA’s current child age rating structure to provide a more gradual transition when individuals move from age 20 to 21.