Articles, News and Information
Small Group Rating on New ACA Plans Beginning in 2014
The Affordable Care Act (“ACA”) and new state laws great new rules for how small group health plan rates will be calculated in 2014 and beyond for small groups. These changes are different than how small group has been rated prior to ACA. For non-grandfathered small group plans, insurance must maintain a single risk pool for…
Employer’s Requirements for Summary of Benefits and Coverage (SBC)
Group business – SBC distribution requirements Under its final rule of the Patient Protection and Affordable Care Act, U.S. health insurers and group health plan providers must provide a summary of benefits and coverage (SBC) to participants and beneficiaries who are eligible to enroll or re-enroll in group health coverage through an open enrollment period.…
Finding Creative Solutions to 2014 PPACA Mandates: “Early Renewal” Strategy for Small Groups
In addition to avoiding some of the changes in small group benefits, some insurers are advising their group clients to “Early renew” and have a new effective date of December 1, 2013, thereby avoiding the more expensive January 1, 0214 changes until later in 2014. If a policy is renewed before January 1, 2014, this…
Key Benefit Provisions that DO and DO NOT Apply to Grandfathered Plans
Group health plans in existence on or before March 23, 2010, when the Affordable Care Act was signed into law may be considered “Grandfathered.” Grandfathered plans are exempt from certain health care provisions, whereas non-grandfathered plans must comply with health care reform mandates. Listed below are a summary of key benefit provisions that apply to…
What are Grandfathered Plans?
Group health plans in existence as of March 23, 2010, when the Affordable Care Act was signed into law may be considered “Grandfathered.” Grandfathered plans are exempt from certain health care reform provisions, whereas non-grandfathered plans must comply with the healthcare reform mandates. Group health plans with “grandfathered” status may have significant consequences if they change to…
Health Care Reform Timeline for Group Health Plans
The Patient Protection and Affordable Care Act (HR 3590) was signed by President Obama on March 23, 2010 and the Health Care and Education Reconciliation Act approved by Congress, signed by the President on Wednesday, March 31, 2010 is intended to expand coverage to millions of Americans. Some measures will be implemented in 2010, but many…
