MRMIB Moving Forward on Fed Risk Pool

MRMIB (California's Major Risk Medical Board) is putting together the federal major risk pool program for California. According to the most recent document, MRMIB is targeting PPO model coverage plans allowing for provisions to match the new federal PPACA guideline (no annual or lifetime caps, lower deductibles (under $1500) and so on).

According the the MRMIB, target date for the risk pool to be operating is September, 2010.

According to information provide by Pricewaterhouse Coopers (PwC) to the MRMIB, enrollment in the new risk pool could be approximately 25,000 California residents.

For comparison, MRMIP (California's Major Risk Insurance Plan) enrolls a total enrollment of about 7,100.

The risk pool funding will be a combination of premium from subscribers and federal dollars. No state monies will be used to fund the California federal risk pool.

More information as soon as I get it. Remember, the two primary conditions a person must meet to participate in the federal risk pool are:

1. Uninsured for six months or longer and unable to obtain private, group or public health insurance

2. Must have a health condition determined by the pool as a qualifying condition (these have not been published yet)


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