Can current enrollees in the group subject to the premium increase be “grandfathered” so they are not subject to the upcoming premium increase?
That is not possible under the law, which requires that enrollee premiums reasonably and equitably reflect the cost of the benefits. If current enrollees were exempted from the premium increase, new enrollees’ premiums would have to be artificially raised to make up the projected funding shortfall. Their premiums then would not reflect the cost of their benefits. Additionally, the law does not provide for a government contribution to pay part or all of the premiums.
Related Questions
- Why is there no premium increase for Future Purchase Option (FPO) enrollees, when there is one for people with Automatic Compound Inflation Option (ACIO)?
- Can current enrollees in the group subject to the premium increase be "grandfathered" so they are not subject to the upcoming premium increase?
- How can I file an appeal if my former employer’s group health plan denies my application for the premium subsidy?
