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Feds Say Grandfathered Health Plans Can Change Insurers

November 16, 2010
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Related Topics: Medical Benefits Law, Benefit Design and Communication, Finance/Taxes, Latest News
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Employers are allowed to change insurers without their health care plans automatically losing grandfathered status under the health care reform law, federal regulators said.

In a reversal of their previous position, the Labor, Treasury and Health and Human Services departments said Nov. 15 that forcing an employer to stay with an insurer to keep a health plan’s grandfathered status would give that insurer an unfair advantage.

“If an employer has to stay with the same insurance company to keep the benefits of having a grandfathered plan, the insurance company has undue and unfair leverage in negotiating the price of coverage renewals,” according to a HHS fact sheet.

In addition, “allowing employers to shop around can help keep costs down while ensuring individuals can keep the coverage they have,” HHS said.

Like the original rule, self-funded employers also will be able to change plan administrators without losing grandfathered status for their plans.

Grandfathered plans are shielded from certain health care reform law requirements, such as providing full coverage of preventive services.

The agencies noted that they received many comments on the initial rule that would have stripped grandfathered status for plans that changed insurers. The change in position was in response to those comments, HHS said.   

The action came after federal regulators signaled in September that they intended to modify the original rule.

 

Filed by Jerry Geisel of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.

 

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