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PPACA News: Final Regulations Released on the 90-day Waiting Period Limit

Learn how the final regulations regarding the 90-day waiting period limit and Health Care Reform may impact your business --- via CBG BenefitsIn February 2014, final regulations on the 90-day waiting period limit rules under the Affordable Care Act were released. These rules prohibit group health plans and group health insurance issuers from applying any waiting period that exceeds 90 days.

While the final regulations generally reflect earlier proposals, here is a summary of some of the key details:

  • All calendar days are counted beginning on the enrollment date, including weekends and holidays
  • A requirement to successfully complete a reasonable and bona fide employment-based orientation period may be imposed as a condition for eligibility for coverage under a plan
  • Separate proposed regulations published at the same time as the final regulations propose one month as the maximum length of any orientation period
  • The final regulations provide that a former employee who is rehired may be treated as newly eligible for coverage upon rehire
  • The final regulations apply to group health plans and group health insurance issuers for plan years beginning on or after Jan. 1, 2015. For plan years beginning in 2014, compliance will be considered with either the 2013 proposed regulations or the final regulations.

Is Your Company Complying with Health Care Reform?

At CBG Benefits, we recognize that understanding one’s compliance requirements with the Affordable Care Act has become a full-time job for many Human Resources professionals and finance executives.

If you could use a hand in ensuring that your company is meeting its requirements, we are here to help!

Please contact me today at 781-759-1222 to learn how we can enable you to focus on growing your business.


Photo Credit: Steve Bowbrick via Compfight cc

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Posted in: Benefits and Insurance, Human Resources, Legislation

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