New Hampshire Individual Health Plan Benefit Association d/b/a New Hampshire Health Plan (the Association) is a nonprofit corporation authorized by the State of New Hampshire under Chapter 404-G of the New Hampshire Revised Statutes Annotated (RSA 404-G) and formed pursuant to Chapter 292 of the New Hampshire Revised Statutes Annotated (RSA 292). The Association’s primary 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 were considered medically uninsurable or who otherwise qualified based on federal and state guidelines. The Association currently supports the state’s Medicaid expansion program and reinsurance program.
The Association’s membership consists, by statute, of all writers of health insurance coverage in the state under RSA 415, 420-A, or 420-B, including group excess loss insurance, and all third party administrators in the state as defined under RSA 402-H.
New Hampshire Granite Advantage Health Care Program Support
The Association continues to support the Granite Advantage Health Care Program under RSA 404-G and RSA 126-AA by collecting assessments from Assessable Entities and depositing the proceeds into the Granite Advantage Health Care Trust Fund. The 2024 statutory amendments updated the Association’s purpose and assessment base, including the addition of third party administrators. The program is currently authorized through December 31, 2030, with final settlement procedures extending into 2031 and 2032. The Association also completed its responsibilities under SB407 for the Ground Ambulance Study in 2025, with related income and expenses included in Granite Advantage Program results.
New Hampshire Reinsurance Program
The Association administers the New Hampshire Reinsurance Program under the direction of the New Hampshire Department of Insurance. Created under the 2019 RSA 404-G amendments and supported by federal Section 1332 waiver funding, the program began January 1, 2021 and reimburses individual market carriers for qualifying claims under annual parameters approved by the Commissioner. The program is funded through State reinsurance assessments and federal pass-through awards, with distributions made to participating carriers for approved program-year claims. CMS extended the waiver through December 31, 2030, and the Association’s updated Plan of Operation governs ongoing administration.