ACA UPDATE: Deadline Extended for Small Employer Non-ACA Plans
Director of Employee Benefits Compliance
On January 19, 2021 the Centers for Medicare and Medicaid Services (CMS) issued a bulletin regarding another extension for small employers to continue to offer non-ACA compliant plans in the small group market.
Starting in 2013, CMS has been allowing states to continue to allow certain coverage in the individual and small group markets that did not comply with the ACA requirements. The most recent extension allows for the renewal of these policies for policy years beginning on or before October 1, 2022 provided that all coverage would come into compliance with the ACA requirements by January 1, 2023.
States are allowed to permit insurers that have renewed these policies continually since 2014 to renew the coverage for any policy year before October 1, 2022 with the understanding that any coverage renewed under this transitional policy must be in compliant with ACA small group requirements by January 1, 2023. To accommodate, states may also allow policy years that are shorter than 12 months or early renewals with a January 1, 2022 start date.
The State of Wisconsin, Office of the Commissioner of Insurance (OCI) has not yet issued a bulletin to insurers regarding this extension.
This extension will only effect non-grandfathered health insurance plans offered by employers who are legally defined as small employers (Less than 50 full-time employees). Since this is a state-based standard, you should check with the office of your State Insurance Commissioner to understand if this is an option for your group health insurance plan.