Institute of Social and Economic Research, University of Alaska Anchorage
Abstract
The four guardrails that a successful 1332 waiver must meet are as follows:
1. Coverage - There must be at least a comparable number of individuals with coverage
under the waiver as would have had coverage without the waiver.
2. Affordability – The waiver should not result in an increase in out-of-pocket spending
required of residents to obtain coverage, relative to income.
3. Comprehensiveness – The waiver should not decrease the number of individuals with
coverage that meets the essential health benefits (EHB) benchmark.
4. Deficit Neutrality – The waiver should not have any negative impact on the federal
deficit.
In this report, the first three guardrails are briefly discussed to reaffirm that the actuarial
analysis conducted by Oliver Wyman demonstrates that the proposed waiver meets them.
The actuarial report from Oliver Wyman projects that the proposed waiver will increase the
number of individuals taking up insurance in the individual market, lower average premiums,
and have no impact on the comprehensiveness of coverage. The numbers reported in the
actuarial analysis are then used to help evaluate the impact that the proposed waiver will
have on the federal budget.Alaska Division of Insuranc
