Coming soon – Eligibility Application for Open Enrollment (November 1 – December 15)
following approval by the federal government.

The Iowa Stopgap Measure is a short-term solution to bring stability for Iowans dealing with the effects of the collapsing commercial individual health insurance market due to the Affordable Care Act (ACA). Without the Iowa Stopgap Measure, 20,000 more Iowans will likely be forced to go uninsured due to skyrocketing premium costs under the ACA according to the economic and actuarial analysis. The Iowa Insurance Division has also submitted on Oct. 5, 2017 an updated supplement to the waiver application.

Federal Public Comment Period

CMS has provided a letter of completeness triggering the beginning of a 30-day federal comment period regarding the Iowa Stopgap Measure. Iowans are encouraged to submit comments regarding the Iowa Stopgap Measure to CMS Administrator Seema Verma and Center for Consumer Information & Insurance Oversight (CCIIO) Director Randy Pate by email at StateInnovationWaivers@cms.hhs.gov and include Iowa Section 1332 Waiver Comments in the subject heading. Please include your name, organization (if any), and email address with the comments.

Anticipated Premiums, Premium Credits and Net Rates

Iowans can anticipate the following premiums, premium credits and net rates based on their age and their household’s percentage of federal poverty level. Actual premiums will depend on which carrier you choose.

Poverty Level Guidelines

Household income divided by the poverty guideline amount based on household composition (shown below) equals the percentage of Federal Poverty Level to be used in the chart above.

Enrollment Checklist

Use this checklist to make sure you have all the necessary information on-hand before beginning the enrollment process for the Iowa Stopgap Measure.

Iowa Stopgap Measure Q&A

Here is a Q&A about the Iowa Stopgap Measure.

Iowans can review the overview of the anticipated payment responsibilities by individuals. The carrier’s policy will have additional information.

More information will be available once the Iowa Stopgap Measure is approved. If you need assistance the Iowa Insurance Division staff is available at 515-725-4011 or via email at stopgap@iid.iowa.gov.

**The Iowa Stopgap Measure has not yet been approved by the federal government. Should the federal government not approve the Iowa Stopgap Measure, Iowans will need to purchase coverage through healthcare.gov.