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Small Group (50 or Fewer Employees) Insured Plans and PPACA

Originally posted by United Benefit Advisors (UBA)

PPACA brings numerous responsibilities and options to employers. Below is a summary of the PPACA provisions that apply to group health plans and whether the provision applies to insured small group plans provided inside and outside the SHOP exchange.

Provisions Effective 2013 or Later
Provisions Effective 2010 – 2012
Note: For 2014 and 2015, the Patient Protection and Affordable Care Act (PPACA) considers a small group one that has up to 50 employees. (In most states, part-time employees count pro rata toward full-time equivalent employees using the same method as the play or pay requirement.) Beginning in 2016, for purposes of the insurance market requirements – but not the employer shared responsibility/play or pay requirement – a small group will be defined as up to 100 employees.

Sept. 19, 2013