To Grandfather or Not: Affordable Care Act Requirements

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On June 17, 2010, the U.S. Departments of Treasury, Health & Human Services, and Labor issued an interim final regulation detailing changes that will -- or will not -- cause an employer’s group health benefit plan to lose its “grandfathered plan” status.

The three Departments then issued three sets of interim final regulations that address changes made by the Affordable Care Act that apply to plan years beginning on or after September 23, 2010:

*On June 28, 2010, the Departments of Health and Human Services, Labor and Treasury issued interim final regulations implementing the Act’s requirements that prohibit preexisting condition exclusions, lifetime and annual limits, and recisssions, and the Act’s requirements designed to ensure choice of primary care physician and greater access to benefits for emergency services.

*On July 19, 2010, these Departments issued interim final regulations implementing the Act’s requirements for coverage of preventive services.

*On July 28, 2010, the Departments issued interim final regulations implementing the Act’s requirements that codify existing regulations on internal appeals of denied claims and mandate external independent review of certain claims appeals.

Please see full article below for more information.

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Published In: Administrative Agency Updates, Health Updates, Insurance Updates, Labor & Employment Updates

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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