Affordable Care Act Implementation Part XXVII

The Departments release the Affordable Care Act Implementation Part XXVII.

Document Excerpt

In the final HHS Notice of Benefit and Payment Parameters for 2016 (2016 Payment Notice) (80 FR 10750), HHS clarified that under section 1302(c)(1) of the Affordable Care Act, the self-only maximum annual limitation on cost sharing applies to each individual, regardless of whether the individual is enrolled in self-only coverage or in coverage other than self-only.  In response to this clarification, the Departments received questions regarding the application of the clarification to self-funded and large group health plans.  The Departments are issuing the following FAQs to address these questions from stakeholders.


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