Final Regulations on Short-Term Health Plans Under the Affordable Care Act

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The U.S. Departments of Labor, Health and Human Services, and the Treasury have finalized regulations under the Affordable Care Act (ACA) that address certain exceptions under the ACA. Among other things, the regulations:

  • Define "essential health benefits" for purposes of identifying plans that are (and are not) subject to the ACA prohibition against annual and lifetime dollar limits;
  • Limit the ACA exception for short-term, limited duration health insurance to arrangements that last no more than three months (and longer arrangements already approved by state insurance regulators to continue up to December 31, 2017); and
  • Address exceptions for supplemental health benefits and for health coverage that is included in certain types of travel insurance.

The new rules generally take effect for plan years beginning on after January 1, 2017.

 

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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