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Implementing Health Reform: Program Integrity Amendments and Other Issues
Timothy Jost, in Health Affairs Forefront Link to more items from this source
Oct. 27, 2013

"Under the guaranteed renewability requirement, a small (or large) employer has the right to renew or continue in force the coverage it purchased in the small (or large) group market, even though it has become a large (small) group because of an increase (or decrease) in employees. However, provisions of the ACA that apply only to groups of a particular size, such as the premium rating or single risk pool requirements that apply only to small groups, would not apply to a small group that becomes a large group, even if it renews a small group product."

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