Tag: Group health plans

Question: Our self-funded plan includes exclusions for hazardous activities and hobbies, including injury or illness arising from use of snowmobiles, personal aircraft, personal watercraft, four wheel recreational vehicles, etc. Does the Affordable Care Act (ACA) prohibit this type of exclusion or limitation for grandfathered and nongrandfathered plans? Answer: Federal regulations under the Health Insurance Portability and Accountability…

Question:  Can we offer employees who are Medicare eligible an incentive in a supplemental payment to move from our group health plan to Medicare? We have two Medicare-eligible employees currently on our group health plan and two more that will become Medicare-eligible this year. We are told that this drives up our premium costs by…