
NOTICE ANNUAL PUBLIC FORUM SECTION 1332 WAIVER AND REINSURANCE PROGRAM
Pursuant to Federal requirements, New Hampshire Health Plan will hold a public forum for members of the public and interested stakeholders to get information about the progress of the State's Section 1332 Waiver and New Hampshire Reinsurance Program and to ask questions and offer comments.
The public forum shall be held on:
Wednesday, June 17th, 2026 at 10am
Location: Walker Building, Room 274
21 S Fruit Street, Concord, NH 03301
To join remotely, click here or visit https://bit.ly/4whl2NY
Remote access is available online or by phone
For assistance joining by phone or with technical issues accessing the forum via Teams, contact
Emma Joyce at (443) 613-2800 or ajoyce@pcgus.com
During the forum, New Hampshire Health Plan will present information about the progress of the Section 1332 Waiver and the New Hampshire Reinsurance Program. Those participating in person or by webinar will have the opportunity to ask questions and offer comments. The forum will be recorded and the recording as well as the presentation will posted at https://www.nhhp.org/historical-governance-documents/governance-documents-nh-reinsurance-program and https://www.insurance.nh.gov/about-us/life-health-division. Those who view the recording may submit written comments or questions by July 1, 2026. to lkaplanhowe@pcgus.com or to New Hampshire Health Plan, C/O Michael Degnan, Helms & Company, Inc., 1 Pillsbury Street, Suite 200, Concord, NH 03301.
On August 5, 2020, the United States Departments of Health and Human Services and Treasury approved New Hampshire's Section 1332 State Innovation Waiver for a state-based reinsurance program. The New Hampshire Reinsurance Program was proposed pursuant to New Hampshire RSA 404-G:12 and New Hampshire RSA 420-N:6-a, and the program and the waiver went into effect on January 1, 2021. The program reimburses insurers based on their liability for high-cost claims in the state's individual health insurance market. The program complies with all federal statutory requirements for Section 1332 Waivers related to comprehensiveness and affordability of coverage, access to coverage and federal spending. Via the Section 1332 Waiver, federal funding is being provided to support the program in addition to a state insurance assessment. An extension of the waiver was granted, effective January 1, 2026.
Over $152.26 million in federal funding for the program was leveraged in the first five years of the program (2021 through 2025), which is more than double the state funding for those years. It is expected that federal funding will total over $27.5 million in 2026, which will also significantly exceed the state funding for this year. As a result of these investments, premiums for the Second Lowest Cost Silver Plan in the New Hampshire Marketplace were 11% less in 2026 than they would have been without the waiver.
This is New Hampshire Health Plan's sixth annual public forum to discuss the progress of the Section 1332 Waiver and New Hampshire Reinsurance Program and to receive public questions, concerns, and comments.
More information about New Hampshire's Section 1332 Waiver and the New Hampshire Reinsurance Program is available at https://www.nhhp.org/historical-governance-documents/governance-documents-nh-reinsurance-program and https://www.insurance.nh.gov/about-us/life-health-division.
People who require special accommodations, auxiliary aids or service, alternative communication formats or language access support in order to participate in the process, including those with disabilities or limited English proficiency, should contact Lisa Kaplan Howe at (603) 860-7851 or lkaplanhowe@pcgus.com no later than May 29, 2026 to ensure any necessary accommodations can be provided.
May 18 2026
LPRT0519204