Public Notice: Final Payment Parameters for the 2021 Plan Year

PUBLIC NOTICE

OFFICE OF THE COMMISSIONER OF INSURANCE

The Office of the Commissioner of Insurance (OCI) announces the final payment parameters for the 2021 plan year for the Wisconsin Healthcare Stability Plan. Consistent with Wis. Stat. § 601.83 (2), the Commissioner adjusted the payment parameters with the goal to stabilize or reduce premium rates, increase participation by health insurers, improve access to health care providers and services, and mitigate the impact of high-risk individuals participating in the individual health insurance market. The Commissioner engaged an actuarial consulting firm to assist the OCI in developing its preliminary payment parameters for plan year 2021 consistent with Wis. Stat. §601.83 (2). After considering the data received by insurers, the best estimates for 2021 enrollment, and having held a public hearing on April 27, 2020, the Commissioner is finalizing the following payment parameters for plan year 2021:

Attachment point: $40,000

Coinsurance rate: 48 percent

Reinsurance cap: $175,000

For additional information please contact Julie Walsh at [phone] or email at [e-mail].

This Public Notice

is approved on May 6, 2020.

_______________________________________

Mark V. Afable

Commissioner