System Messages
state of implementation
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0% progress
Based on documents submitted on State Refor(u)m, Guam has made 0 percent progress by completing 0 milestones toward the category: Commercial Insurance
Implementation Milestone Checklist
- Conduct a statutory and regulatory analysis of what is required to bring the state into compliance with federal law
- Enact legislation necessary to bring the state into compliance with federal law
- Adopt a systematic rate review process
- Decide whether to keep separate or merge the individual and small group market risk pools
- Decide whether to participate in a Health Care Choice Compact to facilitate interstate sale of health insurance products
- Analyze possible sources of adverse selection in the Exchange and adopt strategies designed to mitigate that risk
- Develop a plan to adjust risk for qualified plans consistent with federal laws and regulations
- Identify an "applicable reinsurance entity" to provide reinsurance in the individual market beginning January 1, 2014
- Determine whether to have an updated external review process of insurance plan decisions or defer to the federal government
- Create a plan for educating consumers about their rights and responsibilities as defined by the ACA insurance provisions
- Decide whether to delay the extension of the state's small group market to groups of 51-100 until 2016
- Determine whether to regulate insurance plans’ compliance with minimum medical loss ratios or defer to the federal government.