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2+: Health Net's Health Care Reform Updates

Oct 25, 2013

The Affordable Care Act (ACA) was signed into law on March 23, 2010. Health Net continues working on the implementation of this legislation, commonly referred to as “health care reform.” For the purposes of your plan renewal there is some important information you need to know.

Please give beere&purves or Health Net a call if you have questions about how these issues may impact your health plan. Before making any new health care coverage decisions, we recommend you consult with your legal counsel and tax advisors to determine the best approach for your company in light of health care reform.

The topics are listed in alphabetical order. Not all ACA provisions are included. Unless otherwise noted, the changes will apply at your group’s first renewal occurring on or after the effective date specified.

Important Affordable Care Act (ACA) Information for Employers

Bona Fide Associations
Clinical Trials
Employer Shared Responsibility
Essential Health Benefits
Grandfathered Plan Status
Guaranteed Issue and Renewability
Lifetime Limits and Restrictions on Annual Limits
Medical Loss Ratio (MLR) Requirements
Notification of Exchange
Out‐of‐Pocket Maximums
Patient‐Centered Outcomes Research Institute
(PCORI)/Comparative/Effectiveness Research Fee

Pre‐existing Conditions
Probationary Period/Waiting Period
Summary of Benefits and Coverage (SBC) and Uniform Glossary
Refer to the flyer “Ensure Your Employees Understand Their Health Care" for instructions on printing and distributing the SBCs to your employees and dependents.
Taxes and Fees
Wellness Programs
W‐2 Forms
For assistance with health care reform updates or Health Net plan selection, contact your b&p Sales Team - 888.722.3373.
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