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Guest Ohio City

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Guest Ohio City

Under the provisions of PPACA, a grandfathered plan can elect to exclude certain adult children from coverage under the plan if they are eligible for health care coverage through their employer.

Looking for some thoughts on whether the plan sponsor of a grandfather plan can limit the scope of the eligible employer coverage exception so that the exclusion would not apply to full-time college students. In other wrods, would it be a violation of PPACA or the reguations issue thereunder, if a plan sponsor adopted a rule stating that adult children who have employer based coverage would not be covered under the plan; provided, however, that if such is a full-time student the exculsion would not apply and the adult child would be allowed to remain in the plan.

Any thoughts or opinions would be appreciated.

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