Wednesday, June 2, 2010

BCBSNC to implement unlimited lifetime benefit maximums

The recent health reform legislation, collectively known as the Affordable Care Act (ACA), prohibits lifetime dollar limits on any new or renewing plans with an effective date of September 23, 2010 or later.

In response to this legislation, Blue Cross and Blue Shield of North Carolina (BCBSNC) will amend their standard benefit offerings for new groups with effective dates of August 1 or later. As a result, limited lifetime maximum medical plans will no longer be quoted for groups with an effective date on or after August 1, 2010. Any group previously quoted with a limited lifetime maximum will be honored. Groups with an effective date after September 23 must be quoted with an unlimited lifetime maximum to comply with the ACA. Again, this change to unlimited lifetime maximums will be effective at the group's first renewal after September 23, 2010.

The ACA’s provision prohibiting lifetime limits also applies to self-funded groups. To comply with this mandate, unlimited specific stop loss will be standard for all BCBSNC self-funded groups effective immediately.

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