The Centers for Medicare and Medicaid Services (CMS) unveiled a new interim final rule May 6, 2016 which amends certain special enrollment periods (SEPs) in the individual marketplace and revises certain rules pertaining to consumer operated and oriented plans (CO-OPs). The rule aims to curb abuse of the SEP, which insurers have said is occurring when consumers claim to have a qualifying event but actually do not. The rule also aims to strengthen the CO-OP program. Highlights of the new rule have been provided below.
The interim final rule is effective May 11, 2016 with some amendment provisions taking effect on July 11, 2016. Public comments can be made up until July 5, 2016. A summary of the interim final rule can be found here.
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