Health Care Reform Information
Grandfathering
Berry College believes that this plan is a “grandfathered health
plan” under the Patient Protection and Affordable Care Act (the
Affordable Care Act). As permitted by the Affordable Care Act, a
grandfathered health plan can preserve certain basic health coverage
that was already in effect when that law was enacted. Being a
grandfathered health plan means that your [plan or policy] may not
include certain consumer protections of the Affordable Care Act that
apply to other plans, for example, the requirement for the provision of
preventive health services without any cost sharing; however,
grandfathered health plans must comply with certain other consumer
protections in the Affordable Care Act, for example, the elimination of
lifetime limits on benefits.
Questions regarding which protections apply and which protections do
not apply to a grandfathered health plan and what might cause a plan
to change from grandfathered health plan status can be directed to the
Employee Benefits Security Administration, U.S. Department of Labor at
1-866-444-3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.
Lifetime Limits
The lifetime limit on the dollar value of benefits under Berry
College health plan no longer applies. Individuals whose coverage
ended by reason of reaching a lifetime limit under the plan are
eligible to enroll in the plan. Individuals have 30 days from the date
of this notice to request enrollment. For more information contact
Cindy Marchant at 706.236.1722.