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

Role of the Actuary Subgroup comment letter to NAIC on the treatment and definitions of the term "actuarial opinion" in VM-30.  (January 10, 2019)
Life Reserves Work Group comment letter to the Life Actuarial (A) Task Force on amendment proposal form (APF) 2018-44, regarding credited amounts for indexed accounts.  (January 2, 2019)
Non-Guaranteed Elements Work Group comment letter to NAIC on their proposal for a life insurance online guide landing page.  (November 28, 2018)
Life Operational Risk Work Group follow-up letter to NAIC on exposed Life Risk-Based Capital growth charge proposal.  (October 29, 2018)
Life Reserves Work Group revised amendment proposal form on selection of the industry basic table when company experience mortality rates are higher than the industry basic table. (October 3, 2018)
Life Reserves Work Group revised amendment proposal form on the aggregation of mortality segments for the purpose of determining credibility.  (September 12, 2018)
RBC Tax Reform Work Group letter to NAIC on the interpretation of year-end 2018 life risk-based capital results in light of the 2017 Tax Cuts and Jobs Act. (September 7, 2018)
Life Illustrations Work Group comment letter to NAIC on draft changes to Model #582.  (August 31, 2018)