93.545: Consumer Operated and Oriented Plan [CO-OP] Program
Overview
Program Number
93.545
Status
Inactive
Last Modified
Aug. 12, 2022
Date Posted
Aug. 12, 2022
Objective
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
Type of Assistance
E - Direct Loans
Applicant Eligibility
TTo 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
Beneficiary Eligibility
Not applicable.
Additional Information
Grant Awards
Consumer Operated and Oriented Plan [CO-OP] Program direct grants
Grant Opportunities