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53. Internal Revenue Service, “Individual Shared Responsibility Provision—Reporting and<br />

Calculating the Payment.” Accessed on October 31, 2016.<br />

54. American Academy of Actuaries, Drivers of 2015 Premium Changes, June 2014.<br />

55. Evan Saltzman and Christine Eibner, “Insuring Younger Adults through the ACA’s<br />

Marketplaces: Options to Expand Enrollment,” Commonwealth Fund blog post and technical<br />

appendix, December 16, 2016.<br />

56. CMS, March 31, 2016 Effectuated Enrollment Snapshot. June 30, 2016.<br />

57. CCIIO, “Frequently Asked Questions Regarding Verification of Special Enrollment Periods,”<br />

September 6, 2016.<br />

58. CCIIO, “Pre-Enrollment Verification for Special Enrollment Periods,” December 12, 2016.<br />

59. CMS, “Promoting Transparency and Appropriate Coverage for Dialysis Patients,” CMS Fact<br />

Sheet, December 12, 2016.<br />

60. Congressional Research Service, “Health Insurance: State High Risk Pools,” 2011.<br />

61. Aditi P. Sen and Thomas DeLeire, The Effect of Medicaid Expansion on Marketplace Premiums,<br />

Department of Health and Human Services, ASPE Issue Brief, September 6, 2016.<br />

62. Employee Benefit Research Institute, Self-Insured Health Plans: Recent Trends by Firm Size,<br />

1996-2015, July 2016.<br />

63. Sabrina Corlette, et al., Selling Health Insurance Across State Lines: An Assessment of State Laws<br />

and Implications for Improving Choice and Affordability of Coverage, The Center on Health<br />

Insurance Reforms, Georgetown University Health Policy Institute, October 2012.<br />

64. Department of Health and Human Services, ASPE Issue Brief, Health Insurance Marketplaces<br />

2016 Open Enrollment Period: Final Enrollment Report, March 11, 2016.<br />

AMERICAN ACADEMY OF ACTUARIES 42

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