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Author Question: Describe five ways that an employer-sponsored health plan could lose its grandfathered status. ... (Read 114 times)

nelaaney

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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.



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jxjsniuniu

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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




nelaaney

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Reply 2 on: Jul 7, 2018
Wow, this really help


ashely1112

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

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