Requirements on the Horizon

Many 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.