The reform law imposes a number of requirements on group health plans. Most of these will apply to group health plans whether or not they maintain grandfathered status, including:
However, some reform requirements will not apply to grandfathered group health plans so long as that status is maintained. These include requirements to:
* Under PPACA, until 2014 grandfathered group health plans are not required to offer
coverage to dependents who are eligible for employer coverage.
** Most Aetna insured plans already provide these benefits. Current customers should review
their existing plan documents for additional information.
To learn more about grandfathering, access the following links posted on the Department of Labor’s Employee Benefits Security Administration website:
Interim Final Regulation, Table on Applicability of Provisions to Grandfathered Plans, Model disclosure language.
This summary is provided for informational purposes only. This summary should not be
construed as, or relied upon, as legal or any other advice. Employers should consult with their
own legal counsel for a comprehensive explanation of the rules and the proper application
of these rules to their particular situation.