12.07.2015 Views

Chris Johnson, Manager Consulting Services - J.W. Terrill

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Healthcare Reform: Plan Provisions• Effective on first renewal following September 23, 2010• Amend appropriate plan documents regardless of Grandfathered status:– No Lifetime Limits– No “Restricted” Annual Limits– Extension of Coverage to Adult Children Under Age 26• Grandfathered plan does not have to provide coverage if child is eligible for coverage under another plan– Elimination of Pre-Existing Exclusions for Anyone Under Age 19– No Recessions of Coverage• Special Rule for Collectively Bargained Plans – (Insured Plans Only)– CBA in Place Prior to March 23, 2010 Plan Will Remain Grandfathered Until The Last ofthe Agreement (i.e. can change plans without losing protections)– Plan Does Have to Comply With Rules Above

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