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Rules on Cost Sharing Under ACA Clarified

The federal agencies that regulate the Act issued a set Frequently Asked Questions (FAQ) to clarify the limits on cost-sharing under the ACA.

For plan years beginning in 2016, the maximum annual limit on cost-sharing for all individuals is $6,850, regardless whether the is covered under a self-only plan or a plan that also covers others, such as a family plan or a plus-one plan.

This also applies to self-funded , as clarified by the FAQs issued by the Departments Labor, and Human Services and Treasury.

The clarification applies to any plan or policy years that begin on or after January 1 2016, and to non-grandfathered deductibles.

The agencies advised to review their  2016 to ensure they comply with the rules maximum out-of-pocket costs.

 

Robert Sheen: Robert Sheen is Founder and President of Trusaic. Robert is a graduate of the University of Southern California, in Business Administration with an emphasis in International Finance. He earned his Juris Doctor from Loyola Law School, Los Angeles, concentrating in Tax Law.
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