Requirements on the Horizon

Business-MeetingMany employers have asked for a simple list of Affordable Care Act requirements that apply to their business. Here are a few provisions for self-funded plans with plan years beginning on or after January 1, 2014.
  • Eligibility waiting period maximum of 90 days
  • Pre-existing conditions no longer permitted on anyone
  • Annual dollar limits prohibited on essential health benefits
  • Protections for those in clinical trials
  • Out of pocket expenditures may not exceed $6,350 for individuals and $12,700 for families
  • Revised wellness program rules
  • Transitional reinsurance fee
For more information or help with any of these provisions, please contact us at your convenience.

To view other articles from the SIP Winter Newsletter, please click here.

In cooperation with NAEBA

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