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Group Health Plans Must Limit Out-of-Pocket Expenses at Individual Level in 2016
McAfee & Taft
[Guidance Overview] July 9, 2015
"Employers who sponsor non-grandfathered self-funded health plans will need to evaluate their plan designs to determine how to implement this new rule, amend plan documents to expressly include the application of the requirement, amend and/or ensure summary plan descriptions (SPDs) are consistent with this new rule, and then determine the impact of this new rule on plan costs and, therefore, premiums."
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