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The Department of Health and Human Services is offering the Consumer Operated and Oriented Plan (CO-OP) Program to provide loans to eligible prospective nonprofit health insurance issuers for start-up and solvency. The aim is to establish a viable CO-OP in each State and the District of Columbia as envisioned by the Affordable Care Act. The number of awards will vary based on applications and funding availability, with preference given to non-competing CO-OPs in each State. Applications for expanding to multiple States are also welcome. Funding is subject to availability, and CMS may encourage development in States without applicants. Closing date for applications is December 31, 2012.
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Opportunity ID: 136873
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General Information
| Document Type:: | Grants Notice |
| Funding Opportunity Number:: | OO-COO-11-001 |
| Funding Opportunity Title:: | Consumer Operated and Oriented Plan [CO-OP] Program |
| Opportunity Category:: | Other |
| Opportunity Category Explanation:: | Loans |
| Funding Instrument Type:: | |
| Category of Funding Activity:: | Health |
| Category Explanation:: | The Patient Protection and Affordable Care Act, Pub. L. No. 111-148, enacted on March 23, 2010, and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, enacted on March 30, 2010, are collectively referred to in this announcement as the “Affordable Care Act.” The Department of Defense and Full-Year Continuing Appropriations Act, 2011, Pub. L. No. 112-10, which amended the Affordable Care Act, was enacted on April 15, 2011. Section 1322 of the Affordable Care Act created the Consumer Operated and Oriented Plan program (CO-OP program) to foster the creation of new consumer-governed, private, nonprofit health insurance issuers, known as “CO-OPs.” In addition to improving consumer choice and plan accountability, the CO-OP program also seeks to promote integrated models of care and enhance competition in the Affordable Insurance Exchanges established under sections 1311 and 1321 of the Affordable Care Act.
The statute provides loans to capitalize eligible prospective CO-OPs with a goal of having at least one CO-OP in each State. The statute permits the funding of multiple CO-OPs in any State, provided that there is sufficient funding to capitalize at least one CO-OP in each State. The statute directs the Secretary to give priority to applicants that will offer CO-OP qualified health plans on a Statewide basis, will use integrated care models, and have significant private support. |
| Expected Number of Awards:: | 51 |
| Assistance Listings Number(s):: | 93.545 — Consumer Operated and Oriented Plan [CO-OP] Program |
| Cost Sharing or Matching Requirement:: | No |
| Version:: | Synopsis 5 |
| Posted Date:: | Jan 05, 2012 |
| Last Updated Date:: | Sep 10, 2012 |
| Original Closing Date for Applications:: | Dec 31, 2012 |
| Current Closing Date for Applications:: | Dec 31, 2012 |
| Archive Date:: | Jan 30, 2013 |
| Estimated Total Program Funding:: | |
| Award Ceiling:: | $ |
| Award Floor:: | $ |
Eligibility
| Eligible Applicants:: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility:: | Please see page 21 of the full announcement for eligibility information. |
Additional Information
| Agency Name:: | CMS Consumer Operated and Oriented Plan Program |
| Description:: | We estimate that 51 applicants will be awarded loans under the CO-OP program joint Start-up and Solvency Loans or only Solvency Loans because section 1322 of the Affordable Care Act envisions the creation of at least one viable CO-OP in every State and the District of Columbia. These numbers are estimates. The actual number of awards will vary according to the number of applications and the size of awards. The estimated number of awards reflects the statutory goal of the CO-OP program to establish a CO-OP in each State. It should be noted, however, that the statute allows CMS to fund more than one eligible prospective CO-OP qualified nonprofit health insurance issuer in any State if the funding is sufficient to do so. However, CMS is unlikely to fund CO-OPs that will directly compete with each other for the same target market if actuarial analysis indicates that these CO-OPs would be less likely to repay loans under those circumstances. If there is no applicant from a State, CMS may award loans to encourage the expansion of a eligible prospective CO-OP qualified nonprofit health insurance issuer from another State to that State or take other steps to encourage the development of a CO-OP in a State. Additionally, an applicant may apply for loans to establish a CO-OP in more than one State. For the purposes of this Funding Opportunity Announcement (FOA), a State means each of the 50 States and the District of Columbia. All awards (new and continuation) that are issued under this announcement are subject to the availability of funds as well as satisfactory progress. In the absence of funding, CMS is under no obligation to make awards under this announcement. |
| Link to Additional Information:: | |
| Grantor Contact Information:: | If you have difficulty accessing the full announcement electronically, please contact: |
Version History
| Version | Modification Description | Updated Date |
|---|---|---|
| Synopsis 5 | Updated Project Officer Information. | Sep 10, 2012 |
| Synopsis 4 | ||
| Synopsis 3 | An applicant may apply in this announcement for (1) joint Start-up and Solvency Loans; or (2) only a Solvency Loan. The first option provides the recipient with both a Start-up Loan a nd a Solvency Loan issued through a single application. Start-up Loans are intended to assist applicants with the many startup costs associated with establishing a new health insurance issuer. Solvency Loans are intended to assist applicants with meeting the solvency requirements of States in which the applicant seeks to be licensed to issue CO-OP qualified health plans. | |
| Synopsis 2 | ||
| Synopsis 1 |
Package Status
Below are CLOSED Opportunity Package(s) no longer available for this Funding Opportunity:
Package No: 1
| Assistance Listings: | 93.545 |
| Competition ID: | |
| Competition Title: | |
| Opportunity Package ID: | PKG00090750 |
| Opening Date: | |
| Closing Date: | Dec 31, 2012 |
| Agency Contact Information:: | Korisha Ramdhanie |
| Who Can Apply:: | Organization and Individual Applicants |
| mendatory_forms |
Application for Federal Assistance (SF-424) [V2.1] Project Abstract Summary [V1.1] HHS Checklist (08-2007) [V2.1] Project/Performance Site Location(s) [V1.4] Disclosure of Lobbying Activities (SF-LLL) [V1.1] Assurances for Non-Construction Programs (SF-424B) [V1.1] Budget Information for Non-Construction Programs (SF-424A) [V1.0] |
| optional_forms |
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Packages
| Assistance Listings | Competition ID | Competition Title | Opportunity Package ID | Opening Date | Closing Date | Actions | Who Can Apply: | |
|---|---|---|---|---|---|---|---|---|
| 93.545 | PKG00090750 | Dec 31, 2012 | View | Korisha Ramdhanie | Organization and Individual Applicants |
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