The Biden Department of Health and Human Services (HHS) released the second portion of the 2022 Notice for Benefits and Payment Parameters (NBPP-2022). The NBPP is the annual “rulebook” for the implementation and operation of the ACA marketplaces and insurance policies. There is a ton of administrative discretion embedded in the ACA on how out of pocket maximums are calculated, how risk adjustment works, when open enrollment occurs, what events qualify for a special enrollment period and dozens of other details. The new final rule has the following to say on verifying the reason on Special Enrollment Periods (SEP): HHS is not finalizing the provision to require all exchanges to conduct SEP verification for at least 75% of new enrollments for consumers not already enrolled in coverage through the relevant exchange.