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About this form

Please use this form ONLY to submit your 2015 benefit year annual enrollment count and remit the contribution amount owed for the ACA Transitional Reinsurance Program. ACH Company ID - 7505008015 and Company Name - USDEPTHHSCMS. Please email reinsurancecontributions@cms.hhs.gov if you need to submit your Previous Year's ACA Transitional Reinsurance Program Annual Enrollment Contributions form and contributions.

Notice: For all questions regarding your 2015 ACA account, please contact CMS via email ONLY at ReinsuranceContributions@cms.hhs.gov

Accepted Payment Methods:

  • Bank account (ACH)

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Transitional Reinsurance Contributions
000-000-0000 Hrs: 8-10(M-St) ET