This document discusses restrictions on premium increases for grandfathered health insurance plans and establishes a grace period for current employment-based health plans. Specifically, it states that issuers cannot vary the percentage increase in premiums for a risk group without changing it for all enrollees in that group at the same rate. It also establishes a 5-year grace period after which employment-based health plans must meet the same requirements as qualified health benefit plans, including essential benefit package requirements. An exception is made for employment-based plans that only cover limited benefits.
This document discusses restrictions on premium increases for grandfathered health insurance plans and establishes a grace period for current employment-based health plans. Specifically, it states that issuers cannot vary the percentage increase in premiums for a risk group without changing it for all enrollees in that group at the same rate. It also establishes a 5-year grace period after which employment-based health plans must meet the same requirements as qualified health benefit plans, including essential benefit package requirements. An exception is made for employment-based plans that only cover limited benefits.
This document discusses restrictions on premium increases for grandfathered health insurance plans and establishes a grace period for current employment-based health plans. Specifically, it states that issuers cannot vary the percentage increase in premiums for a risk group without changing it for all enrollees in that group at the same rate. It also establishes a 5-year grace period after which employment-based health plans must meet the same requirements as qualified health benefit plans, including essential benefit package requirements. An exception is made for employment-based plans that only cover limited benefits.
This document discusses restrictions on premium increases for grandfathered health insurance plans and establishes a grace period for current employment-based health plans. Specifically, it states that issuers cannot vary the percentage increase in premiums for a risk group without changing it for all enrollees in that group at the same rate. It also establishes a 5-year grace period after which employment-based health plans must meet the same requirements as qualified health benefit plans, including essential benefit package requirements. An exception is made for employment-based plans that only cover limited benefits.
The issuer cannot vary the percentage increase in 2 the premium for a risk group of enrollees in specific 3 grandfathered health insurance coverage without 4 changing the premium for all enrollees in the same 5 risk group at the same rate, as specified by the 6 Commissioner. 7 (b) GRACE PERIOD FOR CURRENT EMPLOYMENT- 8 BASED HEALTH PLANS. 9 (1) GRACE PERIOD. 10 (A) IN GENERAL.The Commissioner 11 shall establish a grace period whereby, for plan 12 years beginning after the end of the 5-year pe- 13 riod beginning with Y1, an employment-based 14 health plan in operation as of the day before 15 the first day of Y1 must meet the same require- 16 ments as apply to a qualified health benefits 17 plan under section 101, including the essential 18 benefit package requirement under section 121. 19 (B) EXCEPTION FOR LIMITED BENEFITS 20 PLANS.Subparagraph (A) shall not apply to 21 an employment-based health plan in which the 22 coverage consists only of one or more of the fol- 23 lowing: 24 VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC July 14, 2009 (12:51 p.m.) F:\P11\NHI\TRICOMM\AAHCA09_001.XML f:\VHLC\071409\071409.140.xml (444390|2)