DE| Delaware Department of Insurance REVISED Bulletin No. 113 reminds health insurance carriers of the annual assessment supporting the Delaware Health Insurance Individual Market Stabilization and Reinsurance Program, with the next payment and assessment form due by March 1, 2027. The bulletin outlines applicability, calculation requirements, and the program’s role in lowering individual-market premiums and supporting market stability following expiration of the temporary federal enhancements to advance premium tax credits.
Applicability and exclusions: The assessment applies to carriers providing covered individual and group health insurance in Delaware. Exclusions include specified governmental coverage and stand-alone dental, stand-alone vision, long-term care, disability income, and accident-only insurance.
Calculation and filing: The assessment equals 2.75% of the applicable Delaware premium-tax or premium-tax-exemption base, excluding premiums not subject to the assessment. Carriers must submit the attached assessment form and remit payment by March 1, 2027; late payment or failure to pay is subject to penalties and interest under 18 Del. C. § 329.
Program purpose and administration: The Department collects the assessment and anticipates transferring the funds to the Delaware Health Care Commission by April 15. The program reimburses individual-market insurers for a portion of qualifying high-cost claims to reduce premiums and support affordability and market stability; its federal waiver extends through December 31, 2029.