Filed Under:Health Insurance, Individual Health

IRS drafts large-group minimum value rules

PPACA toolbox (AP photo/Jacquelyn Martin)
PPACA toolbox (AP photo/Jacquelyn Martin)

Patient Protection and Affordable Care Act (PPACA) benefits standards will be different for plans at large employers than they are for individual policies and plans at small employers.

The Internal Revenue Service (IRS) talks about what the standards for large employers might look like in a new set of draft regulations,  "Minimum Value of Eligible Employer-Sponsored Plans and Other Rules Regarding the Health Insurance Premium Tax Credit" (RIN 1545-BL43).

PPACA also has created a standardized "essential health benefits" (EHB) package. The package is supposed to include the benefits that a normal good small-group health plan covers, along with some extras required by Congress, such as dental benefits and eye benefits for children.

The U.S. Department of Health and Human Services (HHS) has said that it will assume that "total allowed costs" means the cost of covering the standard EHB package for the type of people who would be in a typical self-insured employer health plan.

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Nichole Morford

Nichole Morford
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