Emergency Health Carrier Assessment Rule

The DC Health Benefit Exchange Authority Executive Board voted to adopt the “Emergency Health Carrier Assessment” rule at its July 21, 2015 meeting.

Under the Health Benefit Exchange Authority Financial Sustainability Amendment Act of 2015 (L21-0013) the DC Health Benefit Exchange Authority will annually assess health carriers to support its budget. The emergency rule sets forth the process by which an assessed entity may contest an assessment levied pursuant to DC Code Section 31-3171.03(f).

The DC Health Benefit Exchange Authority must have its initial assessment of health carriers in the summer of 2015 to support its FY 2016 Authority budget. Emergency action is necessary to ensure there is due process available to assessed entities to contest the assessment levied pursuant to §31-3171.03(f).

A health carrier seeking to contest the assessment in the Notice of Assessment issued pursuant to DC Code Section 31-3171.03 can submit a request for reconsideration consistent with the Emergency Health Carrier Assessment rule (2015). A health carrier can file a request for reconsideration by submitting a written request to the DC Health Benefit Exchange Authority at [email protected], specifying the basis for the request as specified in this rule.