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If an employer wishes to have its health plan remain grandfathered and if the employer has been paying 100% of employee premiums and 50% of spouse/dependent premiums, would they lose grandfathered status by reducing the spouse/dependent employer payment to 25% or 0% even if the employer keeps paying 100% of employee premiums? In other words, does the grandfathering issue pertain only to how the employer pays for employee coverage in addition to other factors or might changes to spouse/dependent premium payments by the employer also impact the grandfathered status?

Posted
If an employer wishes to have its health plan remain grandfathered and if the employer has been paying 100% of employee premiums and 50% of spouse/dependent premiums, would they lose grandfathered status by reducing the spouse/dependent employer payment to 25% or 0% even if the employer keeps paying 100% of employee premiums? In other words, does the grandfathering issue pertain only to how the employer pays for employee coverage in addition to other factors or might changes to spouse/dependent premium payments by the employer also impact the grandfathered status?

Changes to spouse/dependent premium payments by the ER might impact the grandfathered status. 29 CFR § 2590.715–1251(g)(4), Example 7

John Simmons

johnsimmonslaw@gmail.com

Note to Readers: For you, I'm a stranger posting on a bulletin board. Posts here should not be given the same weight as personalized advice from a professional who knows or can learn all the facts of your situation.

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