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2005 SCI Policy Planning Grant
Awarded to: D.C. Department of Insurance, Securities and Banking
The grant will support actuarial analysis of a risk transfer concept in the District Insurance Commissioner's "Equal Access to Health Insurance Act," a proposal that creates a purchasing pool that builds on the already existing size and stability of the District's public employees.
The Equal Access Act proposes to establish the District of Columbia Health Benefit Program and Health Insurance Risk Transfer Pool, through which all persons who live, work, or are enrolled in a program of higher education in the District have access to a health insurance program that provides the choices and protections currently available only to those who work full-time for large employers.
The D.C. Health Benefit Program will function like a purchasing pool for employers and individuals with unique features. The program will use as a base the District government's employees to provide the stability of a large pool of insured individuals. The program will then develop a risk transfer pool to address the potential adverse risk selection issues that could occur with a voluntary pool; it will augment the District-wide purchasing pool. The risk transfer pool will allow all commercial carriers participating in self-funded employer plans and stop-loss and reinsurance carriers to transfer claims for high-cost enrollees into the pool.
The SCI grant will provide funding to the D.C. Department of Insurance, Securities and Banking to conduct actuarial analysis to assess the effects of this new program on the insurance market, existing public programs, and level of uninsurance in the District.
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