Remember Our 1st Date?
Coverage
Acronyms
Exchange/Marketplace
Who Pays?
100
July 31, 2013
What is the first possible effective date PCORI fee payments are due.
100
100%
What coverage is required for preventive services?
100
HCR
What is Health Care Reform
100
3 times
What is the max rate differential for older persons?
100
9.5%
What is the maximum ACA comliant employee premium as a percent of pay for a large employer?
200
October 1, 2013
What is the date the Employee Notice of Exchanges must be send out.
200
27 year old "children"
What family member is not eliglbe under ACA?
200
HDHP
What is a High Deductible Health Plan
200
Medicaid eligible
Who is a person not eligible to use the Marketplace?
200
$95 per Adult in 2014
What is the typical penalty for not having insurance?
300
Plan Years on or after September 23, 2010 (name 2)
What is 1) Dependent Coverage For Children Under Age 26 2) the Elimination of Pre-Existing Condition Exclusions for Children 3) Coverage of preventive care services at 100% 4) the Prohibition on Lifetime and Annual Dollar Limits
300
Copays and coinsurance
What are amounts paid by members called?
300
HHS
What is the US Department of Health & Human Services
300
Percent of FPL
What is the basis for getting a premium subsidy?
300
Medicaid
Who pays for coverage for those with no or very low incomes?
400
Plan Years on or after January 1, 2014
What is the Elimination of Pre-Existing Condition Limitations for Everyone.
400
Preventive care
What must be covered at 100%?
400
IRO
What is an Independent Review Organization
400
Platinum
What "metal" plan will provide the most coverage?
400
US Taxpayers
Who pays for Marketplace subsidies?
500
1/1/14
What is the date exchange "marketplaces" can first implement coverage?
500
Spouses
What family member can be excluded from a large employer plan?
500
NAIC
What is the National Association of Insurance Commissioners
500
Navigators
Who will help explain Marketplace options?
500
Consumers
Who will pay ACA employer compliance costs?
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