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2016 Expansion of Small Group Market

By Ryan McBeth posted 08-12-2015 16:32

  

In 2016, the ACA expands the small group insurance market to include employers with 100

or fewer FTEs

Historically, market rules have generally defined small groups as 2 to 50 eligible

employees

• Newly “small” groups will face:

More restrictive rating rules, which may increase premiums for some (or reduce for

others)

Additional benefit requirements that could reduce benefit flexibility and increase premiums

Adverse selection in the market if more employers self-insure

• ACA’s Guaranteed Renewability rules may allow newly “small” groups to renew existing

large group policies

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