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Remainder of 2022 Payment Notice Finalized

On May 5, 2021, the Department of Health and Human Services (HHS) published a second Notice of Benefit and Payment Parameters (NBPP) for 2022 that finalized the remainder of the standards included in the proposed notice issued at the end of 2020. The first final 20222 NBPP was published January 19, 2021.

This second NBPP describes additional benefit and payment parameters under the Affordable Care Act (ACA) that apply for the 2022 benefit year, including the following:

  • The annual out-of-pocket maximum limit will increase to $8,700 (self-only coverage) or $17,400 (family coverage).

  • The required contribution percentage for catastrophic coverage eligibility will decrease to 8.09%.

  • An additional special enrollment period (SEP) for Exchange coverage for certain Exchange enrollees who lose premium tax credit eligibility.

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