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Employee Cost Sharing for Health Benefits
Vorys, Sater, Seymour and Pease LLP Link to more items from this source
[Guidance Overview]
Feb. 28, 2013

"Previously, there was a question as to whether the small group market caps would also apply to self-insured group health plans and health insurance policies sold to large employers. Recent final regulations by [HHS] and [DOL] FAQs Part XII ... resolve that question as follows: The cap on deductibles will not apply to self-insured group health plans and policies sold to large employers; but The cap on the out-of-pocket limit will apply to non-grandfathered self-insured group health plans and non-grandfathered policies sold to large employers. (Grandfathered plans and policies will be exempt while they continue to maintain grandfathered status.)"

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