ALERT: WI. waives deductible limit

Wisconsin’s Insurance Commissioner Ted Nickel has issued a “bulletin” clarifying the state’s policy regarding Section 1302(c)(2) of PPACA* for insurers offering small group health insurance plans outside of the Federally Facilitated Marketplace (FFM) that will be established in Wisconsin. It reads…

“Pursuant to clear statutory authority, Wisconsin insurers offering small group health insurance plans outside of the FFM will be allowed to increase the deductibles of a small group health plan. This will help ensure that a larger percentage of small employers and their employees will be able to maintain their current health care coverage.”

* NOTE: Section 1302(c)(2) states that in the case of a health plan offered in the small group market, the deductible under the plan shall not exceed $2,000 in the case of a plan covering a single individual and $4,000 in the case of any other plan.

Due to this recent development, TASC has partnered with the Employers Council on Flexible Compensation (ECFC) in an effort to develop a state-by-state approach encouraging others to issue similar guidance.

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