Affordable Care Act Compliance (ACA) Remaining ACA compliant requires individual, employer, and association health plans to meet all preventive service coverage rules. Importantly, preventive services play a key role in meeting ACA standards for both individual and group health plans. Therefore,
Affordable Care Act Coverage Requirements To stay ACA compliant, individual, employer group, and association health plans must focus on key compliance requirements. One critical factor involves understanding the requirement to offer essential health benefits. However, not all essential health benefits may
ACA Compliant Health Plan? The Affordable Care Act (ACA) set specific criteria for health plans to meet ACA compliance, regardless of where they are purchased. In this article, we will explore the relevant ACA compliance criteria for individual plans, discuss the
The Rise and Fall of Association Health Plans: A Look Back at the 2018 Ruling and its Pending Rescinding in 2024 In recent years, Association Health Plans (AHPs) have sparked ongoing debate and controversy among policymakers, businesses, and industry experts. AHPs
Modern Options Beyond Traditional ACA Plans Explaining Association Health Plans: Understanding the Role of ERISA and Offering Coverage to Individuals Association Health Plans (AHPs) continue gaining attention as alternative health coverage for nontraditional workers and small business owners. Governed by ERISA,
Understanding MHPAEA: Parity Requirements for Employer & Association Health Plans Employers and associations must follow MHPAEA to ensure fair coverage for mental health and substance use disorder treatment. This rule requires health plans to treat mental health benefits the same as
Understanding ACA Non-Discrimination Rules: What Employers and Associations Must Know Ensuring ACA non-discrimination compliance is essential for employer or association health plans to avoid penalties and maintain coverage integrity. These rules prevent discrimination based on age, gender, or health status in
Key ERISA and ACA Reporting & Disclosure Rules for Employer and Association Plans Employers and associations must follow ERISA reporting requirements to maintain ACA compliance and protect plan participants’ rights. These rules promote transparency and accountability across health plan operations. To
Key Steps to Meet ERISA Fiduciary Duties for Employer & Association Health Plans Employer and association health plans must meet ERISA fiduciary responsibilities to protect participants and manage group health plans effectively. These responsibilities require employers to act prudently, avoid conflicts,
What Are Association Health Plans? ERISA, MEWAs & Small‑Group Coverage Options Association Health Plans (AHPs) offer an alternative health coverage option, especially for individuals without a traditional employer/employee relationship. Governed by ERISA, AHPs create opportunities for access to health benefits outside
