Compliance

The Affordable Care Act (ACA) presents many new compliance challenges that range from ensuring plan designs incorporate the required benefits to notifying employee’s about the public Exchange.

Grandfathered Plans

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“Grandfathered” plans are health insurance plans that existed before the Affordable Care Act (ACA) was signed into law on March 23, 2010.  These plans are exempt from many, but not all, of the coverage requirements that are mandated under the ACA.  Certain mandates, such as coverage of dependents up to age 26 and no dollar limits on essential health benefits, apply to both grandfathered and non-grandfathered plans.

A plan may lose its “grandfathered” status if significant changes are made that reduce benefits or increase costs.  For additional information on “grandfathered” plans, see below for our series of Briefings.

Additional Information
Health Care Reform: Implementation Guidance Grandfathered Plans
This Briefing offers guidance for plan sponsors who wish to maintain the grandfathered status of their group health plans.
Health Care Reform: Changes to the Grandfathered Plans Regulations
This Briefing outlines the rules issued that allow some employee benefit plans to retain their grandfathered status.
Health Care Reform: Grandfathered Plans – Part II
This Briefing provides an overview of the provisions of the Affordable Care Act applicable to plans that lose their grandfathered status.
Health Care Reform: Regulations Issued for Grandfathered Plans
This Briefing outlines the initial regulations that define grandfathered plans, as well as special rules for collectively bargained plans.