Health Care Reform, Insurance and Employee Benefits

Everything you need to know about health insurance

What is a Grandfathered Health Insurance Plan?

A grandfathered health plan is any health insurance plan which was in existence on or prior to March 23, 2010. The Health Reform Bill makes exceptions for plans that meet the grandfathered requirement. Specifically, health plans that maintain grandfather status will not have to meet several provisions of the new insurance requirements, including:
  • the coverage of adult children up to age 26,
  • first-dollar benefits for preventive care, and
  • inclusion of “essential health benefits” required in 2014.

To maintain grandfathered-status, a health plan must not:
  • significantly cut or reduce benefits,
  • raise co-insurance charges,
  • significantly raise co-payment charges,
  • significantly raise deductibles,
  • significantly lower employer contributions,
  • add or tighten an annual limit on what the insurer pays, and
  • change insurance companies.
Click here to read the fact sheet from healthcare.gov.

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Who we are...
Clarifying Health is a blog about health insurance, health benefits, and everything else related to how Americans pay for medical expenses.

If you have any tips or suggestions for this blog, send an email to blog@ZaneBenefits.com and let us know. We always appreciate feedback

We also run a company called Zane Benefits where we're doing everything we can to help America out of the current healthcare mess.

If you want to learn more about how Zane Benefits helps companies with their benefits, or you're interested in working with us, visit the Zane Benefits website.
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