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Wednesday, 18 January 2012 02:21

New State Flexibility for Essential Benefits Requirement

Written by KristenRussell
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On December 16, 2011 the Department of Health and Human Services (HHS) released a bulletin outlining new state guidelines concerning the federal essential benefit requirement for health plans beginning in 2014 per healthcare reform.

If finalized, states would have the flexibility to select an existing health plan to set the benchmark for the ten components included in the initial essential health benefits package of healthcare reform. States would choose one of the following health insurance plans as a benchmark, with “largest” meaning “most enrolled”:

  • One of the three largest small group plans in the state;
  • One of the three largest state employee health plans;
  • One of the three largest federal employee health plan options;
  • The largest HMO plan offered in the state’s commercial market.

The idea driving this is that insurance needs and the markets they’re priced in vary by state today. HHS is attempting to provide some flexibility per local needs that is also representative of that market within the federal standard required.

What if an actuary sat down with you to go over how this might change what your company offers from what you have in place today? 3 out of 4 employers who sit down with us not only get educated, but they save money lying on the table today.
Contact us to learn more!

Check out the actual HHS press release, including the link for public comments, here.

Read 5309 times Last modified on Monday, 14 September 2020 21:01