The Affordable Care Act establishes a transitional reinsurance program for 2014, 2015 and 2016 that requires health insurance issuers and self-funded group health plans to pay a reinsurance contribution based on the number of covered lives in the group health plan.  In recent proposed rules, the Department of Health and Human Services (“HHS”) estimated that there would be a per capita contribution rate of $5.25 per month for 2014.  The proposed rules provide that the issuer or plan must submit to HHS the average number of covered lives under the plan for 2014 by November 15, 2014.  HHS would then notify the plan of the actual amount of reinsurance contribution owed by the plan, and the plan would have 30 days to pay such contribution.  The proposed rule can be found here.