ACA Affordable Insurance Exchanges and Qualified Health Plans


In This Issue:

Exchanges and Types of Plans To Be Offered Through Exchanges; Essential Health Benefits; Premiums; Cost Sharing Reductions; and Other Issues.

Excerpt from Exchanges and Types of Plans To Be Offered Through Exchanges -

Exchanges and SHOPs; Individual and Small Group Coverage. “Exchanges” are governmental agencies or non-profit entities which meet a series of regulatory requirements and make QHPs available for both “qualified individuals” to purchase in the individual market, and for “qualified employees” of “qualified employers” to purchase in the small group market. The Exchanges will make the QHPs available to qualified employees/employers in the small group market through a “SHOP” (abbreviation of “Small Business Health Options Program”).

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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