MacCorkle Insurance Service

the Current:  Legislative Brief Series

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MacCorkle Insurance Service is pleased to provide you with this update - we hope you find the presented topic both interesting and informative.  Please look for future editions providing the HR professional with compliance and legislative briefs throughout the year.

 

Temporary Guidance Issued on 90-day Waiting Period Limit

 

For plan years beginning on or after Jan. 1, 2014, the Affordable Care Act (ACA) prohibits group health plans and group health insurance issuers from applying any waiting period that exceeds 90 days. ACA's 90-day waiting period requirement does not require an employer to offer coverage to any particular employee or class of employees, including part-time employees. It only prevents an otherwise eligible employee (or dependent) from having to wait more than 90 days before coverage under a group health plan becomes effective.

 

In 2011, the Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments) invited comments on ACA's 90-day waiting period limit. The Departments are Capitol Buildingworking to develop regulations that address the 90-day waiting period requirement.

 

On Aug. 31, 2012, the IRS issued Notice 2012-59 in conjunction with the DOL and HHS to provide temporary guidance on the 90-day waiting period limit. The temporary guidance will remain in effect at least through the end of 2014. According to Notice 2012-59, if more guidance is issued on the 90-day waiting period limit for periods after 2014, plans and issuers will be given adequate time to comply with any additional or modified requirements.

  

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Should you have any questions, or wish to discuss any of these topics, please contact your MacCorkle Team member.

 

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