Human Resources
HHS Proposes Rule Related to Calculating Minimum Value of Employer-Provided Health Coverage | Aon

HHS Proposes Rule Related to Calculating Minimum Value of Employer-Provided Health Coverage


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The Department of Health and Human Services (HHS) issued a proposed regulation on November 20, 2012 outlining standards to be used by health insurance Exchanges and health insurance issuers for covering essential health benefits (EHB) and calculating the actuarial value of a “qualified health plan” (a health plan offered in an Exchange). The proposed regulation also includes additional details regarding methods for an employer to use to determine if its health plan provides “minimum value” under the shared responsibility provisions of the Patient Protection and Affordable Care Act (Affordable Care Act). The regulation also sets forth the Affordable Care Act’s rules on limiting deductibles and cost sharing for non-grandfathered health plans in 2014.

The Aon Hewitt bulletin below discusses the rule on calculating minimum value for employers subject to the shared responsibility payment and the Affordable Care Act’s rules on limiting deductibles and out-of-pocket expenses.

HHS Proposes Rule Related to Calculating Minimum Value of Employer-Provided Health Coverage