Grandfathering Documentation Requirements
A grandfathered plan must maintain records documenting the terms of health coverage in effect on March 23, 2010, and any necessary substantiating documentation. These records and documentation must be available to the agencies, participants or beneficiaries upon request, and must be sent to any new insurance carrier. Federal guidance suggests that such documentation could include the following:
- Plan documents, including amendments
- Health insurance policies
- Certificates or contracts of insurance
- Summary plan descriptions
- Documentation of plan design (including benefits, cost-sharing and annual limits)
- Documentation of premium rates and contributions (including total premiums, employer and employee contributions and, for self-funded plans, the total value of coverage)
-
Additional Resources
-
Grandfathering Home Page
Overview of requirements, FAQs, and Hot Topics -
Notice Requirements
Applicable to grandfathered plans -
Documentation Requirements
Applicable to grandfathered plans -
Value of Grandfathering
A summary describing the value of being grandfathered -
Grandfathered Provisions
A list of plan design mandates that are and are not required for grandfathered plans -
Grandfathering Restrictions
A summary of the restrictions that apply if an employer wants to maintain grandfathered status
-
American Fidelity Assurance Company does not provide tax or legal advice.
ESB-897(0111)
