This report looks at how creating a state claims-based reinsurance program could save Montanans 10%-20% percent on individual health insurance premiums.

State-based reinsurance programs, created by waivers under section 1332 of the Affordable Care Act, are designed to stabilize the individual market and control insurance premiums. This report examines how a potential reinsurance program would impact premiums in 2020, what the potential pass-through might be if the state pursues a reinsurance-based 1332 Waiver, and potential reinsurance payment parameters for select funding scenarios.

The analysis was commissioned by MHCF, and conducted by Wakely Consulting Group, LLC.