Estrictions On Premium Increases: F:/P11/NHI/TRICOMM/AAHCA09 - 001.XML

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

F:\P11\NHI\TRICOMM\AAHCA09_001.

XML

17
1 (3) RESTRICTIONS ON PREMIUM INCREASES.—

2 The issuer cannot vary the percentage increase in


3 the premium for a risk group of enrollees in specific
4 grandfathered health insurance coverage without
5 changing the premium for all enrollees in the same
6 risk group at the same rate, as specified by the
7 Commissioner.
8 (b) GRACE PERIOD FOR CURRENT EMPLOYMENT-
9 BASED HEALTH PLANS.—
10 (1) GRACE PERIOD.—

11 (A) IN GENERAL.—The Commissioner


12 shall establish a grace period whereby, for plan
13 years beginning after the end of the 5-year pe-
14 riod beginning with Y1, an employment-based
15 health plan in operation as of the day before
16 the first day of Y1 must meet the same require-
17 ments as apply to a qualified health benefits
18 plan under section 101, including the essential
19 benefit package requirement under section 121.
20 (B) EXCEPTION FOR LIMITED BENEFITS

21 PLANS.—Subparagraph (A) shall not apply to


22 an employment-based health plan in which the
23 coverage consists only of one or more of the fol-
24 lowing:

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
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

You might also like