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Tuesday, August 25, 2009

Truth in Health Care Reform Act, What you should know?

FACTS ABOUT: H.B. 3200 - America’s Health Choices Act

ACTUAL TEXT OF LAW:
Section 102: Grandfathered Health Insurance Coverage Defined

Subject to the succeeding provisions of this section, for purposes of establishing acceptable coverage under this division, the term grandfathered health insurance coverage’’ means individual health insurance coverage that is offered and in force and effect before the first day of Y1 if the following conditions are met.

Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1.

Subparagraph (A) shall not affect the subsequent enrollment of a dependent of an individual who is covered as of such first day.

Subject to paragraph (3) and except as required by law, the issuer does not change any of its terms or conditions, including benefits and cost-sharing, from those in effect as of the day before the first day of Y1.

WHAT THIS MEANS:
Once the government-run program has started…

1. the employer sponsored program can not accept any new enrollees unless they are a dependent of someone already enrolled.

2. the employer sponsored insurance program can not make any changes to their program. Making changes to the employer program would eliminate the grandfather exemption!

Eventually all private, employer-sponsored programs would be eliminated.
These are the facts.

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