EBIA Weekly Newsletter

HHS Finalizes 2017 Notice of Benefit and Payment Parameters

   March 3, 2016

PPACA; HHS Notice of Benefit and Payment Parameters for 2017, 45 CFR Parts 144, 147, 153, 154, 155, 156, and 158, 81 Fed. Reg. __ (Mar. 8, 2016); Fact Sheet: Final HHS Notice of Benefit and Payment Parameters for 2017 (Feb. 29, 2016)


Fact Sheet

Visit the Health Care Reform Community on Checkpoint to join the discussion on this development (for Checkpoint subscribers to EBIA’s Health Care Reform manual).

HHS has released final regulations (scheduled for publication in the Federal Register on March 8, 2016) that include the final benefit and payment parameters for 2017. The guidance is primarily aimed at insurers, but there are some items of interest to employers, including a new “vertical choice” option in the federal SHOP and cost-sharing parameters setting the 2017 maximum annual limitation on cost-sharing at $7,150 for individual coverage and $14,300 for family coverage (compared to $6,850 and $13,700, respectively, for 2016). We will cover this development in next week’s EBIA Weekly.

Contributing Editors: EBIA Staff.