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Grandfathered Status - Elimination of pre-existing benefit


Guest ERISAAAAH
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Guest ERISAAAAH

Have a health plan which provides $500 dollars for any claims that are deemed pre-existing. Can this benefit be eliminated without losing grandfathered status? On a somewhat related note, I have seem where some people have argued that because the grandfather rules only apply annual limits in terms of dollars that it would be permissible to impose different limits that would achieve the same effect (such as limiting the number of doctor visits or ambulance trips that are covered), any thoughts here?

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Have a health plan which provides $500 dollars for any claims that are deemed pre-existing. Can this benefit be eliminated without losing grandfathered status? On a somewhat related note, I have seem where some people have argued that because the grandfather rules only apply annual limits in terms of dollars that it would be permissible to impose different limits that would achieve the same effect (such as limiting the number of doctor visits or ambulance trips that are covered), any thoughts here?

Is this part of the group health insurance plan or is this a separate self-funded plan?

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