Grandfathered Plan Status

Weighing the Costs and Benefits

Available immediately

Under health reform, a grandfathered plan is protected from several important mandates. Yet when regulations revealed the cost of that protection (loss of flexibility to make plan changes), many predicted that plans would not bother with or would eventually lose grandfathered status. Now the burdens and uncertainties created by regulations on preventive care and enhanced appeals may require a re-evaluation. Join our experts as they sort out the pros and cons.

Originally presented on August 24, 2010.

Seminar Level


Intermediate Difficulty

Topics Covered

Here’s some of what was covered:

  • What changes are permitted for grandfathered plans and which must be avoided (including changes in insurers, benefits, co-insurance, and employer contributions)?
  • How difficult will it be to avoid making the changes that affect grandfathered status, when might fiduciary principles require changes, and could changes beyond the regulations result in a loss of grandfathered status?
  • How burdensome are the compliance requirements under the new regulations on preventive care and enhanced appeals for different kinds of plans?
  • What about the likely burdens of the remaining grandfathered mandates, such as nondiscrimination testing extended to insured plans, patient protections, and certain new reporting rules? (We’ll consider any new regulations issued on these mandates.)
  • Weighing the costs of grandfathered status against the benefits for your plans.

Note: A basic understanding of the grandfather rules and affected mandates will be assumed; full compliance detail for each grandfathered mandate is beyond the scope of this seminar.


Details

Speakers: John R. Hickman and Christy A. Tinnes. Mr. Hickman is an attorney and partner with Alston & Bird in Atlanta and a Contributing Author of three of EBIA’s manuals: Health Care Reform for Employers and Advisors, Cafeteria Plans, and Consumer-Driven Health Care. Ms. Tinnes is a Principal with The Groom Law Group in Washington, D.C. and a Contributing Author of EBIA’s Health Care Reform for Employers and Advisors.

Handouts: A handout of the seminar slides and other information is provided through download.


Viewing Details

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