Assistance program
Consumer Operated and Oriented Plan [CO-OP] Program
-$2.2 Million committed in FY2018–FY2018
- Agency
- Centers for Medicare and Medicaid Services, Health and Human Services, Department of
- Assistance
- Direct Loans
- CFDA number
- 93.545
- What it does
- To provide assistance to applicants for activities related to establishing and maintaining a Consumer Operated and Oriented (CO-OP), nonprofit health insurance issuer. Please refer to the Funding Opportunity Announcement (FOA) for additional information
- Who benefits
- Not applicable.
- Who applies
- To be eligible to apply for a loan under the CO-OP program, an applicant must: 1. Intend to become a CO-OP; 2. Have formed a private nonprofit member organization (see Section IV.B of the FOA for acceptable evidence of certified nonprofit status). ; 3. Submit in its loan application an Eligibility Affidavit and Application Certification signed by the applicant’s Chief Executive Officer, Chief Financial Officer, or an officer of the applicant’s Board of Directors, certifying the accuracy, completeness, and truthfulness of all information contained in the loan application; and certifying that, if the applicant organization is awarded loan(s) under this FOA, it will repay them according to the terms laid out in this FOA, finalized in 45 CFR part 156 subpart F, and in the Loan Agreement issued when the award is announced. The signatory must be legally authorized to bind the CO-OP. For a description of the Eligibility Affidavit and Application Certification, see Section IV.B.10. 4. Commit to offering a CO-OP qualified health plan at the silver and gold benefit levels in every individual market Exchange that serves the geographic regions in which it is licensed and intends to provide health care coverage; and 5. If choosing to offer at least one plan in the small group market outside the Exchange, commit to offering a CO-OP qualified health plan at both the silver and gold benefit levels in each Small Business Health Options Program (SHOP) that serves the geographic regions in which the organization offers coverage in the small group market; and 6. Commit that at least two-thirds of the contracts issued by the CO-OP will be CO-OP qualified health plans offered in the individual market or individual and small group markets of the States in which the CO-OP is licensed
- Authorized by
- Patient Protection and Affordable Care Act (PPACA), Section 1322.
- Program site
- http://www.cms.gov ↗
Committed by fiscal year
Recipients
This program's money is paid out as non-itemized direct payments — USAspending records it under a single aggregate, so individual recipients aren't listed. The dollars and agencies above are complete; the recipient roster isn't part of the public record for programs like this.
How to read these numbers
- Committed through this program
Money committed under this assistance listing (its CFDA program), counted in the year each action happened.
- How it's paid
Most programs pay out one way — a grant, or a direct payment to individuals; the flow bar only appears when a program genuinely mixes types.
- Some recipients aren't itemized
For entitlement programs like Social Security and Medicare, the government reports one aggregate instead of naming tens of millions of people, so the recipient roster isn't part of the public record.
- Awards, counted once
An award count is the number of distinct awards with at least one action that year — each counted once, however many times it was amended.
- The colored bars
Every bar on this page splits by how the money moves:
Direct payments