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Why Maintaining The Current Definition Of The Small Group Market Is Critical

posted by Federal Affairs

on May 12, 2015

Key Takeaways

3.4 million peopleEnacting bipartisan legislation in Congress can preserve access to affordable coverage and care for 3.4 million employees and their families.

 

51-100 employeesExpanding the definition of the small-group market to include mid-size employers (51-100 employees) could have far-reaching implications for the affordability and stability of coverage.

 

2/3 more moneyNearly two-thirds of workers in mid-size firms (64%) would experience premium increases of 18% as a result of applying the ACA modified community rating rules.

 

Overview

Currently, all states define their small-group insurance markets as employers with up to 50 employees. Under the Affordable Care Act, beginning in 2016, the definition for the small-group market will be significantly expanded to include employers with up to 100 employees in all states. Expanding the definition of the smallgroup market to include mid-size employers (51-100 employees) could have far-reaching implications for the affordability and stability of coverage for millions of employees and their families.

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