With the enactment of the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act, which made a number of adjustments to PPACA, attention now shifts to the implementation phase of health care reform.

The Academy's Health Practice Council has established a number of work groups charged with providing input on implementation of a variety of provisions in the new law. Actuaries bring a unique perspective that is crucial to the development of workable health care reform regulation. On this page, you will find links to HPC comment letters related to the various provisions included in PPACA, as well as other resources related to the new law and its implementation.

Please bookmark this page and check back with us frequently. As implementation proceeds, we'll be updating and adding information regularly.

The Academy's Critical Issues in Health Reform series and other documents related to the health care reform dialogue can still be found on the Health Reform Now page.

Accountable Care Organizations (ACOs)
Actuarial Value
Consumer Operated and Oriented Plan Programs (CO-OPs)
Early Retiree Reinsurance Program
Grandfathering Provisions
Medical Loss Ratio Reporting and Rebates
Near-term Benefit and Eligibility Changes
Premium Review
Risk Adjustment, Reinsurance and Risk Corridors

Newly Released Documents

Life Reserves Work Group revised APF 2018-17 in response to comments recieved on the original version of the APF.  (June 11, 2018)
Life Operational Risk Work Group comment letter to NAIC on prospective operational risk growth charge for Life RBC Formula.  (June 6, 2018)
Tax Work Group paper on frequently asked questions about concepts of life insurance tax reserve methods and assumptions.  (May 9, 2018)
Life Illustrations Work Group comment letter to NAIC Life Insurance Illustration Issues Working Group on draft changes to Model #582. (April 30, 2018)
RBC Tax Reform Work Group follow-up letter to NAIC Life Risk-Based Capital Working Group on additional comments regarding impact of changes to corporate tax rate on risk-based capital calculation.  (April 24, 2018)
RBC Tax Reform Work Group update to NAIC on effects of tax reform on life risk-based capital.  (March 24, 2018)
PBA Governance Work Group update to NAIC on Academy involvement with PBR.  (March 23, 2018)
Life Experience Committee presentation to NAIC on analysis and comparison of reserves for Guaranteed Issue (GI) plans.  (March 22, 2018)