State Updates

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

 

On May 5, 2022, Commissioner Rude extended the ability of health insurance carriers in the individual and small group market to continue transitional health insurance plans indefinitely until such time as CMS issues an announcement ending the nonenforcement of certain market reforms.

On March 23, 2022, CMS provided guidance for a transition policy extension that allows insurers the option to renew non-grandfathered non-ACA-compliant plans, if the state allows for such an extension. Such transition policies are not required to comply 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 Wyoming and allows the issuer to renew these non-ACA-compliant plans.

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

Extension of Transition Plans »

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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