Many group Health Insurance plans subject to collective bargaining agreements are grandfathered under Affordable Care Act (ACA).
What does “grandfathered” mean?
Your plan is considered a “grandfathered plan” if was in place as of March 23, 2010 (the date of enactment of the ACA) and certain changes have not been made. If your plan is grandfathered, it means that it is subject only to certain provisions of the Affordable Care Act and not subject to other provisions.
List of ACA Mandates that apply to grandfathered group Health Insurance plans
Maintaining grandfathered status
The law includes a special rule for fully insured collectively bargained plans that allow a change in insurers during the collective bargaining agreement. However, if you make any substantial changes to your plan design, you will lose your grandfathered status and are subject to the same rules as other health plans.
When does the plan lose grandfathered status?
Fully-insured health plans will be able to maintain their grandfathered status until their agreement terminates. As the agreements come up for renewal or are renegotiated, collectively bargained health plans will be subject to the same rules as non-collectively bargained plans.
The bulk of the ACA rules are effective on the first day of the health plan year following January 1, 2014. If you have not yet begun preparations for the new requirements, it’s a good idea to start now. A thorough review should be completed to determine when contracts renew and what changes, if any, must be made to ensure compliance with the ACA.
For help determining if you plan is grandfathered, download our Compliance Checklist for Determining Grandfathered Status.
For more information on grandfathered plans including what is permitted and what is prohibited, download our Overview of Grandfathered Plans.
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