Georgia Seeks 5-Year Extension of 1332 Reinsurance Waiver to Keep Individual Market Premiums Lower

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GA| Bulletin 26-EX-1 announces Georgia OCI’s public notice that the State intends to submit a Section 1332 waiver extension to continue its reinsurance program for an additional five years (Jan 1, 2027–Dec 31, 2031), describes a 15‑day public comment period and a May 7, 2026 public hearing (virtual and in‑person) for the draft application, and outlines proposed 2027 program parameters and expected impacts—including attachment $36,960, cap $500,000, coinsurance Tier 1: 15% / Tier 2: 45% / Tier 3: 70%—with estimated statewide premium reductions of 9.1%, an average annual savings of $923 per member, an annual increase of ~3,182 unsubsidized enrollees, and projected federal premium tax credit savings of $789M–$913M to be passed through to the State to fund the program.

  • Quantified impacts and parameters: proposed PY2027 parameters (attachment $36,960; cap $500,000; coinsurance 15/45/70% by tier) and estimated effects—9.1% statewide premium reduction, $923 average annual member savings, +3,182 unsubsidized enrollees annually, and $789M–$913M annual federal savings—claimed to meet 1332 guardrails for coverage, affordability, comprehensiveness, and deficit neutrality.
  • Public process: 15‑day comment period (Apr 29–May 13, 2026) and public hearing on May 7, 2026 (virtual/in‑person); comments accepted by email and mail with accommodations available on request.
  • Program mechanics and request: continuation of the existing 1332 reinsurance approach that reimburses issuers for high‑cost individual market claims, lowering benchmark premiums and generating federal pass‑through funding to support the program.

Click here to download GA Bulletin 26-EX-1

  • Bulletin
  • Georgia
  • Department of Insurance

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