Analyzing health reform issues affecting Vermont to inform operation of a state health care exchange

The grant supports the Vermont Department of Banking, Insurance, Securities and Health Care Administration in conducting research and analysis related to development and operation of the state's health benefit exchange under the Affordable Care Act. The department must present a report to the state Legislature with recommendations on the following questions: (1) shall the Vermont health benefit exchange be open to employee groups of 50 employees or fewer, or to groups of 100 employees or fewer; (2) shall Vermont permit "qualified plans" (as defined by federal law and potentially modified by Vermont law) to be sold inside and also outside the exchange; (3) shall the state permit other ("nonqualified") plans to be sold outside the exchange; (4) shall supplemental coverage be offered inside and outside the exchange; and (5) shall association-plan coverage be prohibited? The department will use the grant to retain two consultants to perform nonpartisan research and analysis to assist in development of this report; an actuarial consultant to perform research and analysis to explore these questions and lay out advantages and disadvantages of each option; and a marketing consultant to design and conduct focus groups to provide research on businesses and employees who are likely to be affected by the outcome of the report and the subsequent design of the exchange.

Grant Details

Amount Awarded $150,000.00

Awarded on: 10/4/2011

Time frame: 10/1/2011 - 6/30/2012

Grant Number: 69445


David Mannis
Project Director