Essential Benefits
On December 16, 2012, The Center for Consumer Information and Insurance Oversight, a division of HHS, issued the Essential Health Benefits Bulletin. Included in this guidance was CCIIO’s proposal that essential health benefits be defined by a benchmark plan selected by each state. Attached is a Legislative Brief that highlights the Bulletin.
The first footnote in the CCIIO’s Bulletin states: Self-insured group health plans, health insurance coverage offered in the large group market, and grandfathered health plans are not required to cover the essential health benefits.