The Division would like to provide notice that the Commissioner has adopted the following amended regulation:
The purpose of this regulation is to establish the process and timeline by which the Division of Insurance will notify carriers and disburse reinsurance payments to carriers for the applicable benefit year.
This regulation is being amended to clarify that the Division will only use claims data submitted to the CMS EDGE database for reinsurance payment calculations, and to add a requirement that carriers report claims completion estimates to the Division for reinsurance-eligible claims in EDGE.
This regulation will become effective on December 1, 2021.
Regulations that have been adopted, but are not yet effective can be found on the Division's website via the following link:
Find this regulation and other regulations that have been adopted, but are not yet effective, at Regulations Adopted But Not Yet Effective.
Division bulletins and regulations can be found at Statutes, Regulations & Bulletins.