Arkansas Democrat-Gazette

Not-up-to-U.S.-rules insurance adds year

State lets health plans run through ’18

- ANDY DAVIS

Arkansans covered by certain health plans that don’t meet federal requiremen­ts got another reprieve on Thursday from having to change plans.

A bulletin by Insurance Commission­er Allen Kerr allows coverage under the plans to extend through the end of next year.

An earlier extension, issued last year, had allowed the plans to extend through the end of this year.

The plans were issued by small businesses or purchased by individual consumers after March 23, 2010, when President Barack Obama signed the federal Patient Protection and Affordable Care Act, but before Jan. 1, 2014, when many of the law’s requiremen­ts took effect.

Those requiremen­ts include requiring plans to cover a specified set of benefits and to be available to all consumers regardless of their health status. Insurers were also prohibited from setting premiums based on a consumer’s sex or medical history.

The law requires plans renewed after Jan. 1, 2014, to meet the requiremen­ts, but the U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services created a “transition­al policy” giving states the option of allow-

the plans to continue for those who were enrolled as of Oct. 1, 2013.

The federal agency said in February of this year that the transition­al policy will be continued at least through the end of 2018.

“The feedback from the industry is that they were supportive of us following the feds on moving the date,” state Insurance Department

spokesman Ryan James said Thursday.

The health care law itself also makes an exception for plans issued before March 23, 2010. Those “grandfathe­red plans” can be renewed indefinite­ly.

As of November 2013, more than 50,000 Arkansans were enrolled in grandfathe­red plans, and about 70,000 others were covered by non-grandfathe­red plans.

James said the Insurance Department doesn’t have more recent figures on enrollment in those plans.

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