Regulations

Rules on Cost Sharing Under ACA Clarified

By Robert Sheen | June 18, 2015

The federal agencies that regulate the Act issued a set Frequently Asked Questions (FAQs) to clarify the limits on cost-sharing under the ACA.

For plan years beginning in 2016, the maximum annual limit on cost-sharing for all individuals is $6,850, regardless whether the is covered under a self-only plan or a plan that also covers others, such as a family plan or an -plus-one plan.

This also applies to self-funded , as clarified by the FAQs issued by the Departments Labor, and Human Services and Treasury.

The clarification applies to any plan or policy years that begin on or after January 1 2016, and to non-grandfathered -deductible .

The agencies advised to review their  2016 to ensure they comply with the rules maximum out--pocket costs.

 

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