Notice Required... Special Enrollment Opportunities and More
Grandfathered Plan Status, Adult Child Coverage, Lifetime Limits and Patient Protections
By Chrystine M. Heier, CEBS, LIA
Co-Founder and Principal, Sullivan Benefits |
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The Patient Protection and Affordable Care Act (PPACA) includes provisions requiring employer-sponsored group health plans to provide certain notices and special enrollment opportunities. Among the required notices are a "Grandfathered Plan Status" notice in order to maintain a grandfathered plan, special enrollment notices regarding the Adult Child Dependent Extension to age 26 and the Elimination of Lifetime Coverage limits, as well as Certain Patient Protections required for "non-Grandfathered" plans.
GRANDFATHERED PLAN STATUS
In order to maintain a "Grandfathered Status", a plan must include a statement, in any plan materials describing the benefits provided under the plan (i.e. open enrollment notices, SPDs, etc.), that the plan believes it is a grandfathered health plan within the meaning of section 1251 of the Patient Protection and Affordable Care Act and is therefore not subject to some of the consumer protections of the health care reform law. Contact information for questions and complaints must also be provided. Click here for the model notice. |
Do Your Employees Know Their Numbers?
Corporate Wellness Director, Sullivan Benefits |
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What Are My "Numbers"?
During a heart check up, doctors take a careful look at an individual's "numbers," including cholesterol and triglyceride levels, blood pressure and more. Knowing one's numbers is important in keeping heart-healthy. It helps the individual and their doctor to know of potential risks and marks progress toward a healthier body. To understand your numbers you need to know what they are and the goals you need to reach. Share the following chart with your employees to help them see where they stand. Encourage them to learn the steps they can take to reduce risk for heart disease. Once they know a few key facts about their numbers, they'll be on their way to mapping out a heart-healthy lifestyle for themselves and their loved ones! READ MORE. |
Needham Heights Office:
72 River Park · Needham Heights, MA 02494-2631
Phone: 781.449.8323 · Fax: 781.449.5419
Worcester Office:
One Chestnut Place · Worcester, MA 01608-2804
Phone: 508.471.9017 · Fax: 508.797.3689 |
