by ebs | Mar 22, 2024 | 2024
New Jersey Effective January 1, 2017 for new business and as existing small group plans renew on or after said date, the following applies: Although we count employees using the 30 hour per week standard for the purpose of group size, an employee is eligible to enroll...
by ebs | Jan 17, 2024 | 2024
Federal Lifetime and annual dollar limits for participants in individual plans as well as self-insured and fully-insured groups, including grandfathered plans, are prohibited for essential health benefits. Since network and non-network is not differentiated in the...
by ebs | Sep 21, 2023 | 2023
Federal Plans must cover preventive care as outlined by the U.S. Department of Health and Human Services (HHS) without copay, coinsurance or deductible when provided by a network provider. This applies to individual and group plans, including self-funded plans, but...
by ebs | Aug 1, 2023 | 2023
The following applies to self-funded plans: Prohibition of lifetime limits Dependent to age 26 coverage No preexisting condition exclusion for those under age 19 Prohibition against rescission for other than fraud Emergency services always covered in network...
by ebs | Jul 7, 2023 | 2023
The 90-day Maximum Rule For all size group plans for new business and upon renewal for existing plans, waiting periods in excess of 90 days are prohibited for fully-insured, self-funded, grandfathered and non-grandfathered plans. Please note, the state law supersedes...
