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2019 ACA Compliance Overview: Cost-Sharing Limits
Strategic Benefit Services
Feb. 14, 2019
"Review your plan's out-of-pocket maximum to make sure it complies with the ACA's limits for the 2019 plan year ($7,900 for self-only coverage and $15,800 for family coverage).... For 2019, the out-of-pocket maximum limit for HDHPs is $6,750 for self-only coverage and $13,500 for family coverage.... [C]onfirm that the plan will coordinate all claims for EHBs across the plan's service providers or will divide the out-of-pocket maximum across the categories of benefits, with a combined limit that does not exceed the maximum for 2019."
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