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HHS Issues Comprehensive "Essential Health Benefits" Proposed Regulations

Commencing in 2014, the Patient Protection and Affordable Care Act (Act) requires that health insurance coverage provided in the individual and small group markets, including coverage offered through American Health Benefit Exchanges, provide “essential health benefits.” This requirement is part of a larger regulatory scheme that includes, among other things, penalties on large employers (i.e., those with 50 or more full-time equivalent employees) that fail to offer comprehensive, affordable coverage to full-time employees.  For more information on employer responsibilities under the Act, click here for a Mintz Levin advisory authored by my colleagues, Gary E. Bacher and Alden J. Bianchi.

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Martha Zackin