Posts Tagged: Essential Health Benefits

Essential Health Benefits – Still an Elusive Concept

in Affordable Care Act

The term, “essential health benefits,” is well, essential, to employers and insurers as we approach 2014.  For employers, lifetime and annual limits are prohibited for any benefit that is an “essential health benefit.”  Further, if an employer plan does not offer “minimum essential coverage” the employer will need to pay the shared responsibility penalty.  (It is rumoured that HHS will link essential health benefits with the requirement to provide minimum essential coverage.)  For insurers, Exchanges and individuals, essential health benefits is a term that is even more important.  HHS has spent over a year talking about how the rule would look. … Continue Reading