Do HIPAAs group market protections apply to all group health plans?
No, HIPAA’s group market protections do not automatically apply to all employment-related group health plans. The following situations trigger some exceptions: a) Very small plans. In most cases, if you are in a group health plan that only covers one current employee, State law will determine whether you have HIPAA group market protections. Check with your State insurance department to find out if HIPAA group market protections apply to you. b) Non-federal governmental plans. If your eligibility for your group health plan is based on your or someone else’s employment with a State or local government agency, HIPAA protections should apply to you unless your plan has notified you that it is exempt from some or all HIPAA requirements. However, even if the plan is exempt from other requirements, it must always provide you with a certificate of creditable coverage when your coverage ends. You also can ask your plan administrator if you are not sure which protections apply. c) Federal govern
Related Questions
- Do the HIPAA statutory exemptions in effect since 1997 for group health plans with "less than two participants who are current employees" apply to the Affordable Care Act’s group market reforms?
- Can we discontinue offering all health plans in the group and individual market?
- WHAT DOES HIPAA PRIVACY MEAN TO GROUP HEALTH PLANS?
