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Code · BILL · 113th Congress · S. 1642 (Introduced in Senate) — To permit the continuation of certain health plans. · Sec. 3

Sec. 3. Transparency of grandfathered health plan notifications

322 words·~1 min read·/bill/113/s/1642/is/section-3

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Part 2 of subtitle C of title I of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18011 et seq. ) is amended by inserting after section 1251 the following: A health insurance issuer that offers health insurance coverage in the individual market shall annually, at the time of enrollment and renewal, provide enrollees with a notice that states— if applicable, the reasons that such coverage does not meet the requirements under this Act (or amendment made by this Act) for a qualified health plan, including citations to the provisions of this Act involved; that the enrollee has the right to continue to enroll in such coverage; and that the enrollee has the right to enroll in a qualified health plan offered through an Exchange and instruction on how to access such Exchange.
A notification provided by a health insurance issuer, that offers health insurance coverage in the individual market, to an enrollee stating that such coverage is cancelled for such enrollee shall contain a statement of the reasons for such cancellation, including a reference to any provision of this Act (or an amendment made by this Act) that such issuer relied upon in making the determination to cancel such coverage. Subsection
(b)shall apply beginning on the date of enactment of this section, except that with respect to a health plan that has provided a notification of cancellation prior to such date that has not yet taken effect, an enrollee may elect to continue such coverage under such plan if the issuer continues to offer such plan as provided for in section 2 of the Keeping the Affordable Care Act Promise Act and the issuer shall provide a subsequent notification to the enrollee that states— that such plan will remain in effect at the option of the enrollee; and the reasons that such plan does not otherwise meet the requirements under this Act for a qualified health plan. .
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Sec. 3
Transparency of grandfathered health plan notifications
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