← Back to News & Updates
Hospital Coverage Must be Included in ACA Plans
SHARE |
Nov 06, 2014
Group
health care plans that do not provide coverage for hospital care will not pass
the health care reform law's “minimum value” test, but the Internal Revenue
Service is giving a one-year pass to existing or soon to be implemented plans
excluding the coverage.
Ending
months of uncertainty on the issue, the IRS on Tuesday said such plans do not
provide the minimum value requirement and that regulators will shortly propose
regulations to this effect. Read the full article here.
While rules are
yet to be issued, the crux of the notice provides the following:
- Plans
without hospitalization are not going to meet minimum value (MV).
- Employers
that relied on the HHS minimum value calculator AND who have contracts
already executed predating this guidance date of November 3, 2014, will
not be penalized but their plan will need to change at the end of the
contract.
- Employees
who have an offer of coverage that is MV but doesn't include
hospitalization will still be able to access tax credits.
- Employers
who have contracted for these plans must amend any communications that
state that an employee cannot access tax subsidies if enrolled in one of
these plans.
Click here to access the complete notice.