Health Care Reform Website

Transitional Reinsurance Program Fee

The Affordable Care Act established a Transitional Reinsurance Program (TRP) to help stabilize premiums in the individual market from 2014 through 2016. Under TRP, all health insurance issuers and self-insured group health plans submit contributions to support reinsurance payments to issuers that cover high-cost individuals in non-grandfathered individual market plans.

Issuers and self-insured group health plans were subject to the fees with respect to each “covered life” enrolled in major medical coverage. A “covered life” includes not only the enrolled employee but also the covered spouse and dependents.

For 2014, the TRP fee was $63 per person per year ($5.25 per person per month). The fee decreased in 2015 to $44 per person per year ($3.67 per person per month) and $27 per person per year ($2.25 per person per month) for 2016.

Additional Information

Transitional Reinsurance Program Fee
     This Briefing outlines who was required to pay the TRP fee, the amounts due and the deadline for payment.