AHCS actuaries are available to assist clients with a variety of actuarial matters relating to the Patient Protection and Affordable Care Act (PPACA). We have provided services in the following areas:
Insurance company development of PPACA compliant individual and small group benefit programs for both on-exchange and off-exchange business.
Product development to fit required metal tiers and maximize competiveness.
Pricing of PPACA products in a manner to fit filing requirements and company needs.
Rate filings and Actuarial Memorandums. This includes preparing rate filing materials including the Uniform Rate Review Template (URRT), Federal Actuarial Memorandums, State Actuarial Memorandums and Preliminary Justifications.
Forecasting the PPACA impact on insurance company’s non-exchange individual and small group business.
Review of insurer rate filings and issuance of Actuarial Memorandums on behalf of regulatory agencies responsible for PPACA rate filing approval.
Calculation of actuarial values and testing minimum value requirements for insurer products and employer plan sponsors.
Estimation of the value of the 3 R’s; Risk Adjustment, Reinsurance, and Risk Corridors.
Financial reporting of PPACA related assets, liabilities, and income statement items.