2021 Regulatory Update for Health Organizations

Virtual Training Seminar
6.5 CPE Credits Available
Presenters: Colleen Gingrich/Bruce Cromartie
September 27, 2020
9:00am Eastern
(8:00am Central)
September 30, 2020
9:00am Mountain
(8:00am Pacific)

9:00am – 9:15am

Welcome and Introductory Comments

9:15am – 10:30am

Update to 2021 NAIC Accounting Practices and Procedures Manual

This session addresses the changes to the NAIC Accounting Practices and Procedures Manual (APPM) as of March 2022 specific to Health entities including new Statements of Statutory Accounting Principles, amendments to current SSAPs, and new Interpretations adopted since the release of the March 2021 APPM including but not limited to changes to:

  • Ref No. 2019-34 - SSAP No. 25 – Affiliates and Other Related Parties - Clarifies that an ownership greater than 10% in a reporting entity results in a related party designation, regardless of any disclaimer of control or affiliation
  • Ref No. 2020-22 - SSAP No. 26R – Bonds – Addresses the accounting treatment for perpetual bonds
  • Ref No. 2020-32 - SSAP No. 26R – Bonds- Expands called bond disclosures to include bonds terminated through a tender offer
  • Ref No. 2020-40 – Preamble – Clarifies definition and application of prescribed practices as referenced in the NAIC APPM
  • Ref No. 2021-09 – SSAP No. 107 – Risk-Sharing Provisions of the Affordable Care Act – State ACA Reinsurance Programs – Provides statutory accounting and reporting guidance regarding State ACA reinsurance programs

This session also addresses various exposure documents currently released by Statutory Accounting Principles Working Group.

10:30am – 10:45am


10:45am – 11:45pm

2021 Health Annual Statement Update

This session provides an overview of the 2021 Health Annual Statement formats and filing requirements including changes to both the instructions and the format of the 2021 Annual Statement. This Chapter will focus on key reporting issues for the 2021 Health Annual Statement including, but not limited to changes to:

  • Added clarifying instructions to health care receivables to Line 24 – Health Care and Other Amounts Receivable on the Asset Page.
  • Added questions to G.I. Part 1 regarding depository institution holding companies as it pertains to the Group Capital Calculation.
  • Added new Schedule Y, Part 3 to capture all entities with ownership greater than 10%.
  • Added line categories for Unaffiliated Certificates of Deposit and Exchange Traded Funds.
  • Changes to Summary Investment Schedule, Summary by Country and Schedule D, Part 1A (Sections 1 and 2) to reflect the additional line categories.
  • Changes to A&H Policy Experience Exhibit by adding new columns, removing lines distinguishing with and without contract reserves, added new product lines, and eliminated summary tables.

11:45pm – 12:15pm

2022 Blanks Working Group Update

This session provides an overview of the 2022 Health Quarterly Statement and an update on current activities under discussion by the Blanks Working Group, including changes adopted and proposed for the 2022 statutory statements (Quarterly and Annual) and other issues currently under discussion by the Blanks Working Group.

12:15pm – 1:15pm


1:15pm – 2:00pm

2021 Health Risk-Based Capital Update

This session provides an overview of the 2021 Health Risk-Based Capital Formula and addresses changes to the 2021 Health RBC Formula including changes to the instructions and to the format of the Formula. This session also addresses other issues currently under discussion that may affect the 2022 Health RBC Formula.

2:00pm – 2:45pm

2021 Investment Update

This session addresses changes to the December 2020 NAIC Purposes and Procedures Manual of the NAIC Investment Analysis Office and other proposals that may be adopted for 2021 and 2022.

2:45pm – 3:00pm


3:00pm – 3:45pm

Financial Regulatory Issues Update

This session addresses financial regulatory issues impacting health insurance companies that either have been adopted or are under discussion by the NAIC. This session will focus on activities having taken place at the 2021 NAIC Spring and Summer National Meetings with a preview of activities to take place at the NAIC 2021 Fall National Meeting

3:45pm – 4:00pm

Final Questions and Answers