2018 ACA Fees information for ALL 1/1/18 new and renewal groups:The Affordable Care Act (ACA) Starting January 1, 2014, the Affordable Care Act (ACA or health care reform law) says that health insurers must pay a new yearly fee to fund premium subsidies and Medicaid expansion. It is based on their market share of net premiums written, or the sum of premiums earned from all policies, from the prior year. The total amount to be gathered across all insurers is $8 billion in 2014, $11.3 billion in 2015 and 2016, $13.9 billion in 2017 and $14.38 billion in 2018. After 2018, it goes up yearly based on premium growth. The fee is forecasted to raise $101.7 billion and is not tax deductible. Section 1341 of the ACA calls for a transitional reinsurance program to be set up in each State. The program will help stabilize premiums for coverage in the individual market from 2014 to 2016. All insurers, and third-party administrators (TPAs) for self-insured group health plans, will make payments to issuers that cover high-cost people in non-grandfathered individual market plans. This quote contains an amount for the ACA Insurer Fee. Since the fee changes each year in January for all business no matter the renewal date, we have calculated the amount on a prorated basis across your full coverage period.