November 27, 2012
Soc & 101
List of ten provisions of the Affordable Care Act:
Coverage of Children to Age 26- This provision requires group health plans and insurers
that offer health insurance for dependent children to make coverage available for children
(married or unmarried) until age 26.
Individual Mandate- All individuals will be required to have health insurance, with some
exceptions, beginning in 2014. Those who do not will pay a fine of $695 per person.
Automatic Enrollment Summary- Employers with more than 200 full- time employees
and who offer health coverage to automatically enroll and continue new full-time
employees in one of its health benefit plans.
Pre-Existing Condition Exclusions- Children under age 19 cannot be denied coverage
because of a medical condition that already exists
Preventive Health Services- requires group health plans and health insurers to cover
preventive health services without co-pay, coinsurance, deductibles or other cost-sharing
when delivered by a network provider.
Appeals & External Reviews- requires group health plans and health insurers to have an