A BILL TO BE ENTITLED AN ACT TO MAKE TECHNICAL CHANGES TO THE SMALL EMPLOYER GROUP HEALTH COVERAGE REFORM ACT TO MITIGATE THE EFFECTS OF THE FEDERAL AFFORDABLE CARE ACT ON NORTH CAROLINA'S SMALL BUSINESSES AND TO INCREASE STOP LOSS INSURANCE OPTIONS FOR SMALL EMPLOYERS.
Amends GS 58-50-110 (Definitions), deleting the terms Basic health care plan, industry, late enrollee, preexisting conditions provision, and self-employed individual. Provides a new term and definition, Affordable Care Act, meaning the federal Patient Protection and Affordable Care Act. Amends the term small employer to mean any employer who does not meet the definition of an applicable large employer under Section 4980H(c)(2) of the Affordable Care Act.
Deletes GS 58-50-125 (Health care plans; formation; approval; offerings) subsections (a), (a1), (parts of d), and (f), which contained provisions regarding different formations and offerings of health care plans offered by small employer carriers.
Repeals GS 58-50-126(f) (Alternative coverage permitted, discontinuation of basic or standard plans).
Amends GS 58-50-130 (Required health care plan provisions), deleting GS 58-50-130(4b),which established that late enrollees are excluded from preexisting condition coverage for specified time frames. Deletes language in GS 58-50-130(b)(1), relating to the rating of premiums by considering the gender of eligible employees or dependents, and adds a provision for the grandfathering of plans, as defined in the Affordable Care Act. Provides that small employer carriers can develop separate rates for individuals aged 65 or older in regards to situations where Medicare is serving as the primary payor. Deletes age brackets, found in GS 58-50-130(6), previously used for the determining of rates and premiums. Deletes other language dealing with the establishment of rates based on industry.
Effective January 1, 2014.
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