Center for Consumer Information and Insurance Oversight

Gary Cohen, Deputy Administrator and Director

Timothy Hill, Deputy Center and Policy Director

Jim Kerr, Deputy Center and Operations Director

Business Operations Staff - Roman Gurule, Director

Office of Special Initiatives and Pricing - John Bertko, Director

Consumer Support Group - Vicki Gottlich, Director
Health Care.Gov  Division - Brian James, Director
Consumer Services Division - Vacant, Director
Appeals Division - Ellen Kuhn, Director
Transparency and Disclosures Division - Vacant, Director 

Insurance Programs Group - Richard Popper, Director
PCIP Division - Kevin Simpson, Director
ERRP Division - Vacant, Director
CO-OP Division -Barbara Smith, Director

Oversight Group - Gary Cohen, Director
Market Rules Division - James Mayhew, Director
Enforcement Division - Joan Matlack, Director
Medical Loss Ratio Division - Carol Jimenez, Acting Director
Rates Review Division - Sally McCarty, Director

Exchange Policy and Operations Group - Teresa DeCaro, Director
Division Exchanges Implementation and Policy Coordination - Alissa Deboy, Director
Division of Eligibility and Enrollment Policy Operations - Michelle Strollo, Director
Division of Plan Management Policy & Operations - Michael Adelberg, Director

Payment Policy and Financial Management Group - Sharon Arnold, Director 
Division of Policy and Analysis - Laurie McWright, Director
Division of Financial Transfers and Operations - Vacant, Director
Division of Risk Adjustment Operations - Vacant, Director
Division of Reinsurance Operations - Diane Gerrits, Director

State Exchange Group - Amanda Cowley, Director
Division of State Technical Assistance - Hilary Dalin, Director
Division of Policy and Market Analysis - Dena Puskin, Acting Director
Division of State Operations - Melissa Sanders, Director

Functional Statement

• Provides national leadership in setting and enforcing standards for health insurance that promote fair and reasonable practices to ensure affordable, quality health care coverage is available to all Americans.

• Provides consumers with comprehensive information on insurance coverage options currently available so they may make informed choices on the best health insurance for themselves and their families and issues consumer assistance grants to States.

• Implements, monitors compliance with, and enforces the new rules governing the insurance market such as the prohibition on rescissions and on pre-existing condition exclusions for children. Conducts external appeals for States that do not have that authority.

• Implements, monitors compliance with, and enforces the new rules regarding medical loss ratio standards and the insurance premium rate review process, and issues premium rate review grants to States.

• Administers the Pre-Existing Condition Insurance Plan program and associated grant funding to States, the Early Retiree Reinsurance Program, and the Consumer Operated and Oriented Plan program.

• Collects, compiles and maintains comparative pricing data for an internet portal providing information on insurance options, and provides assistance to enable consumers to obtain maximum benefit from the new health insurance system.

• Collects, compiles and maintains comparative pricing data for the Department's web site, provides assistance to enable consumers to understand the new health insurance laws and regulations, and establishes and issues consumer assistance grants to States.

• Develops and implements policies and rules governing State-based Exchanges, establishes and issues Exchange Planning and Establishment to States, oversees the operations of State-based Exchanges, and administers Exchange in States that elect not to establish their own.