What are the eligibility requirements for small groups?

What are the eligibility requirements for small groups?

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...
What is the annual and lifetime dollar limit prohibition?

What is the annual and lifetime dollar limit prohibition?

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...
How are self-funded plans impacted by the ACA?

How are self-funded plans impacted by the ACA?

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...