New Hampshire Individual Health Plan Benefit Association (the “Association”) is a not-for-profit organization established by the State of New Hampshire under Chapter 404-G of the New Hampshire Revised Statutes Annotated (“RSA 404-G”). The Association’s purpose is to protect the citizens of the state who participate in the individual health insurance market by providing a mechanism to equitably distribute the excess risk sometimes associated with this market. The Association previously made available individual health insurance to New Hampshire residents who are considered medically uninsurable or who otherwise qualify based on federal and state guidelines and currently supports the state’s Medicaid expansion program and has established a reinsurance program as described below.
The Association’s membership consists, by statute, of all insurers licensed to transact health insurance in the state that offer policies for major medical coverage on an expense-incurred basis and all licensed hospitals, medical service corporations, or other organizations, if any, in the state that offer subscriber contracts for major medical coverage.
New Hampshire Marketplace Premium Assistance Program Support
In its 2016 session, the New Hampshire legislature amended various existing statutes, including RSA 404-G (the “2016 Statutory Amendments”). The 2016 Statutory Amendments required the Association to continue in existence for the sole-and limited purpose of collecting assessments on behalf of the State of New Hampshire in support of the New Hampshire Marketplace Premium Assistance Program, a component of the New Hampshire Health Protection Program established under New Hampshire RSA 126:A:5(:XXV) to expand Medicaid coverage (the “Health Protection Program”). The Association adopted an Amended and Restated Plan of Operation and Termination (the “Amended Plan”) to reflect this limited purpose and to require that any excess funds remaining from prior activities, after satisfaction of all the Association’s liabilities, be used for the Health Protection Program and for the Association’s reasonable operational costs. The Amended Plan guides and governs the remainder of the Association’s operations and the winding down of the corporation, which Amended Plan has been further amended under “New Hampshire Granite Advantage Health Care Program Support” and under “New Hampshire Reinsurance Program”. This program was finalized as of June 30, 2020.