Summary
Amended by section 10103 of the Manager’s Amendment and section 2301 of HCERA. Affirms no requirement to terminate existing coverage. Generally provides that subtitle C (“insurance market reforms”) and subtitle A (“immediate improvements”) and their amendments do not apply to a group health plan or health insurance coverage in which an individual was enrolled on March 23, 2010, regardless of subsequent renewal.
Applies PHSA sections 2715 (summary of benefits and coverage) and 2718 (medical loss ratio) to grandfathered health plans for plan years beginning on or after the date of enactment. For plan years beginning with the first plan year to which such provisions otherwise apply, applies PHSA sections 2708 (excessive waiting periods); 2711 (lifetime limits); 2712 (rescissions); 2714 (dependent coverage) to grandfathered health plans, and applies PHSA 2711 (annual limits) and 2704 (preexisting condition exclusions) to grandfathered group plans.
Notes that for plan years beginning before January 1, 2014, the provisions of PHSA section 2714 regarding coverage of a dependent adult child only apply to grandfathered group health plans if the adult child is not eligible to enroll in another eligible employer-sponsored health plan.
Effective March 23, 2010.