Earlier this year, the Department of Labor issued its final rules for expanding employers’ access to association plans, a move that could result in some increases in premiums for other plans, including Affordable Care Act-compliant small group health plans. In essence, the rule allows more small businesses and self-employed workers to band together to buy insurance. The final rule is part of the Trump administration’s plan to encourage competition in the health insurance markets and lower the cost of coverage. This is accomplished by broadening the definition of an employer under the Employee Retirement Income Security Act (ERISA) to allow groups to form association health plans and bypass ACA rules, including requiring plans to offer the 10 essential benefits. What is not clear is how the marketplace will react and what kind of plans will ultimately be created to target this new potential market.
In announcing the final rules, Labor Secretary Alexander Acosta said that about 4 million people would likely gain coverage in the association plan market, most of them migrating from the small group and individual markets. The figure also includes an estimate that 400,000 people who currently don’t have coverage will end up securing coverage in association plans. An insurance-industry-funded analysis of the final rule by Avalere Health, a health care consulting firm, has predicted that mostly healthy, young people are expected to gravitate to association plans, which would spark rising premiums in the ACA individual and small group markets. Avalere projects that premiums will increase by as much as 4% between 2018 and 2022.
Under prior rules, association health plans had to comply with ERISA’s large-employer insurance requirements. Many existing association plans have been required to comply with small group and individual insurance market regulations, including protections for people with pre-existing medical conditions and covering the ACA’s 10 essential health benefits.
The Specifics of the Final Rule
Here’s what you need to know about the final rule:
- Association health plans cannot restrict membership based on health status nor charge sicker individuals higher premiums.
- Plans may be formed by employers in the same trade, industry, line of business, or profession. They may also be formed based on a geographic test, such as a common state, city, county, or same metropolitan area (even if the metropolitan area includes more than one state).
- The primary purpose of the association may be to offer health coverage to its members. But, it also must have at least one substantial business purpose unrelated to providing health coverage or other employee benefits. A “substantial business purpose” is considered to exist if the group would be a viable entity in the absence of sponsoring an employee benefit plan.
- The association plan must limit enrollment to current employees (and their beneficiaries, such as spouses and children), or former employees of a current employer member who became eligible for coverage when they worked for the employer.
- The final rule reduces the requirement for working owners. To be eligible to participate, they must work an average of 20 hours per week or 80 hours per month (the proposed rule required an average of 30 hours per week or 120 hours per month).
- An association plan may not experience-rate each employer member based on the health status of its employees. However, it may charge different premiums as long as they are not based on health factors. For example, employees of participating employers may be charged different premiums based on their industry subsector or occupation (e.g., cashier, stockers, and sales associates) or full-time vs. part-time status.
Catherine oversees UBF's daily operations and client retention strategy. She has a background in mathematics, economics, and human resources. In her spare time, she enjoys spending time with her family, taking the dog on long walks, and caring for a small and unfruitful garden.