State Updates

Extended Relief for Non-ACA-compliant Small Group and Individual Policies and Plans

 

On March 8, 2021, Insurance Commissioner Ommen released Bulletin 21-02, extending the ability of health insurance carriers in the individual and small group market to continue transitional health insurance plans through calendar year 2022.

On January 19, 2021, CMS provided guidance for a transition policy extension that allows insurers the option to renew non-grandfathered non-ACA-compliant plans, as long as the state allows for such an extension. Such transition policies are not required to be in compliance with certain ACA mandates including community rating, coverage of essential health benefits, prohibition on pre-existing condition exclusions and the annual out-of-pocket maximum limit. This bulletin applies this most recent federal extension to Iowa and allows the issuer to renew these non-ACA compliant plans.

Small employers that are interested in renewing their non-ACA-compliant plan issued in the state should work with their advisors and insurers.

Bulletin 21-02 »

PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.

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