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Friday, July 4, 2025 7/4/2025

Cooperative Agreement to Support 1332 SIWs in Federally-facilitated Exchanges

Award Number: SIWIW190008
ORGANIZATION: THE CENTER FOR CONSUMER INFORMATION INSURANCE OVERSIGHT
OPDIV: CMS
AWARD CLASS: CLOSED-ENDED
AWARD ACTIVITY TYPE: SOCIAL SERVICES
PERIOD OF PERFORMANCE START DATE: 01/01/2019
PERIOD OF PERFORMANCE END DATE: 12/31/2028

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Cooperative Agreement to Support 1332 SIWs in Federally-facilitated Exchanges - OCI developed a 1332 State Innovation Waiver application to allow Wisconsin to leverage federal funding for a state based reinsurance program designed to offset high cost claims in the individual health insurance market. Prior to 2019 the individual market was experiencing significant instability with insurers exiting the market and double digit premium increases. WIHSP has been instrumental in reversing these trends and has resulted in a reduction in premium during each year the program has been operational. The program has operated for 5 years and is approved to continue through December 2028.


	Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

	Issue Date FY: 2025 ( Subtotal = $223,287,237 )
	2025	2025	WISCONSIN COMMISSIONER INSURANCE	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	00	7	6/2/2025	NON-COMPETING CONTINUATION	$223,287,237
															Subtotal = $223,287,237

	Issue Date FY: 2024 ( Subtotal = $195,640,448 )
	2024	2024	WISCONSIN COMMISSIONER INSURANCE	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	00	6	7/26/2024	NON-COMPETING CONTINUATION	$195,640,448
	2024	2023	WISCONSIN COMMISSIONER INSURANCE	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	01	5	11/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
	2024	2023	WISCONSIN COMMISSIONER INSURANCE	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	02	5	2/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
															Subtotal = $195,640,448

	Issue Date FY: 2023 ( Subtotal = $213,464,988 )
	2023	2023	WISCONSIN COMMISSIONER INSURANCE	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	00	5	6/23/2023	NON-COMPETING CONTINUATION	$213,464,988
	2023	2022	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	03	4	3/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
	2023	2022	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	01	4	1/19/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
	2023	2022	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	02	4	3/1/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
															Subtotal = $213,464,988

	Issue Date FY: 2022 ( Subtotal = $181,902,408 )
	2022	2022	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	00	4	7/14/2022	NON-COMPETING CONTINUATION	$181,902,408
															Subtotal = $181,902,408

	Issue Date FY: 2021 ( Subtotal = $229,175,388 )
	2021	2021	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	01	3	9/21/2021	SUPPLEMENT FOR EXPANSION	$63,408,562
	2021	2021	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	00	3	4/29/2021	NON-COMPETING CONTINUATION	$165,766,826
															Subtotal = $229,175,388

	Issue Date FY: 2020 ( Subtotal = $141,955,242 )
	2020	2020	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	00	2	4/15/2020	NON-COMPETING CONTINUATION	$141,955,242
															Subtotal = $141,955,242

	Issue Date FY: 2019 ( Subtotal = $127,726,259 )
	2019	2019	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	01	1	7/3/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
	2019	2019	EXECUTIVE OFFICE OF THE STATE OF WISCONSIN	125 S WEBSTER ST	MADISON	WI	53703	DANE	USA	1332 State Innovation Waivers	00	1	4/30/2019	NEW	$127,726,259
															Subtotal = $127,726,259

	Grand Total All Awards = $1,313,151,970

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