Affordable Care Act

U.S. Department of Labor

Employee Benefits Security Administration

 Affordable Care Act

Affordable Care Act Regulations and Guidance

Ninety-Day Waiting Period Limitation

Wellness Programs

Stop Loss Insurance

Frequently Asked Questions

  • Part I – This set of FAQs addresses implementation topics including compliance, grandfathered health plans, claims, internal appeals and external review, dependent coverage of children, out-of-network emergency services, and highly compensated employees.
  • Part II – This set of FAQs addresses grandfathered health plans, dental and vision benefits, rescissions, preventive health services, and ACA effective date for individual health insurance policies.
  • Part III – This set of FAQs addresses the exemption for group health plans with less than two current employees.
  • Part IV – This set of FAQs addresses grandfathered health plans.
  • Part V – This set of FAQs addresses a variety of ACA implementation topics, the HIPAA nondiscrimination and wellness program rules, and the Mental Health Parity and Addiction Equity Act of 2008.
  • Part VI – This set of FAQs addresses grandfathered health plans.
  • Part VII – This set of FAQs addresses the Summary of Benefits and Coverage and Uniform Glossary requirements of PHS Act §2715 and the Mental Health Parity and Addiction Equity Act of 2008.
  • Part VIII* – This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
  • Part IX* – This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
  • Part X* – This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
  • Part XI – This set of FAQs addresses the employer notice of coverage options, health reimbursement arrangements, disclosure of information related to firearms, employer group waiver plans supplementing Medicare Part D, fixed indemnity insurance and payment of PCORI fees. Related information: CMS Bulletin on Non-Medicare Supplemental Drug Benefits.
  • Part XII – This set of FAQs addresses limitations on cost-sharing under the ACA.
  • Part XIII– This set of FAQs addresses expatriate health plans.
  • Part XIV – This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715 (* Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV.)
  • Part XV – This set of FAQs addresses annual limit waiver expiration date based on a change to a plan or policy year, provider non-discrimination, coverage for individuals participating in approved clinical trials and transparency reporting.

Coverage of Preventive Services

Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods

Summary of Benefits and Coverage and Uniform Glossary

Regulations and Guidance

Templates, Instructions, and Related Materials

Essential Health Benefits

Multiple Employer Welfare Arrangements (MEWAs)

 

Medical Loss Ratio

Internal Claims and Appeals and External Review

Regulations

Guidance

Other Information

Public Forum on Automatic Enrollment in Large Employer Health Plans

Value-Based Insurance Design in Connection with Preventive Care Benefits

Grandfathered Health Plans

Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections

Extension of Coverage For Adult Children

Small Business Health Care Tax Credit for Small Employers

Affordable Care Act Nondiscrimination Provisions Applicable to Insured Group Health Plans

Early Retiree Reinsurance Program

Pre-Existing Condition Insurance Plan Program

Frequently Asked Questions on Health Care Reform and COBRA

Affordable Care Act Mandated Research Studies and Surveys

Law

EBSA Health Related Information

Compliance Workshops, Seminars and Webcasts

  • None scheduled at this time

Participant Workshops and Webcasts

Health Insurance Marketplace

Related Resources

 

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