Sentences with phrase «qualified health plans sold»

The Affordable Care Act established benchmark coverage standards for Medicaid's newly eligible adult population, as well as for qualified health plans sold in the health insurance marketplaces.

Not exact matches

Off - exchange plans, so called because they are not sold on government - run exchanges, must also cover the ten essential benefits and meet certain federal standards in order to be considered qualifying health coverage.

If you don't qualify for a special enrollment period, you have a few options, including off - exchange plans (a few private health insurers sell them outside the open enrollment period), short - term health insurance, limited benefit plans or prescription discount cards.

(i) Subject to § 147.104 of this subchapter, a Federally - facilitated SHOP must use a minimum participation rate of 70 percent, calculated as the number of full - time employees accepting coverage offered by a qualified employer plus the number of full - time employees who, at the time the employer submits the SHOP group enrollment, are enrolled in coverage through another group health plan, governmental coverage (such as Medicare, Medicaid, or TRICARE), coverage sold through the individual market, or in other minimum essential coverage, divided by the number of full - time employees offered coverage.

For this reason, we propose to calculate the minimum participation rate as the number of full - time employees accepting coverage offered by the qualified employer through the SHOP plus the number of full - time employees who are enrolled in coverage through another group health plan, in governmental coverage (such as Medicare, Medicaid or TRICARE), in coverage sold through the individual market, or in other minimum essential coverage, divided by the number of full - time employees offered coverage through the SHOP.

Blame section 1302 of the ACA regulations, which states that any health plan sold on the federally - run ACA Marketplace that does not include pediatric dental coverage can still be a qualified health plan (QHP) if a stand - alone pediatric dental plan is available for purchase in the exchange.

In some limited cases insurance companies sell private health plans outside Open Enrollment that count as qualifying health coverage.

In order to meet the guidelines for minimum essential coverage and qualified health plans, each QHP sold on the exchange must cover at least 60 percent of your total medical costs.