Author Question: Describe five ways that an employer-sponsored health plan could lose its grandfathered status. ... (Read 113 times)

nelaaney · **on:** Jul 7, 2018

Describe five ways that an employer-sponsored health plan could lose its grandfathered status.

What will be an ideal response?

Question 2

Both employers and employees finance Medicare Part A benefits through payroll taxes of ________ percent on all earnings.

FIll in the blank with correct word.

jxjsniuniu · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

Answer: Grandfathered plans could lose this status if at least one of the following modifications were made:
Eliminating all or substantially all benefits to diagnose or treat a particular condition.
Increase in a percentage cost-sharing requirement (e.g., raising an individual's coinsurance requirement from 20 to 25).
Increasing a deductible or out-of-pocket maximum by an amount that exceeds medical inflation plus 15 percentage points.
Increasing a copayment by an amount that exceeds medical inflation plus 15 percentage points (or, if greater, 5 plus medical inflation).
Decreasing an employer's contribution rate towards the cost of coverage by more than 5 percentage points.
Imposing annual limits on the dollar value of all benefits below specified amounts.

Answer to Question 2

Answer: 1.45