For most health insurance purposes, a Nebraska employer will continue to be a small group if it has 50 or fewer employees.
Bruce Ramge, the new Nebraska insurance director, has issued a notice to clarify how regulators in his state will define the term "small group."
The Patient Protection and Affordable Care Act (PPACA), a component of the Affordable Care Act package, states that a small group is normally a group that has 100 or fewer employees. The PPACA provision lets states set the small-group limit at 50.
Up till now, Nebraska has set the limit at 50, Ramge says.
The Nebraska Department of Insurance has decided to continue to define a "small group" as being a group with 1 to 50 employees for most small group health insurance issues.
The department will make an exception for medical loss ratio (MLR) calculations. For MLR calculations, companies can using groups of 1 to 100 employees when determining the medical loss ratio for small group health insurance, Ramge says.
- Allison Bell
© Arc, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to TMSalesOperations@arc-network.com. For more information visit Asset & Logo Licensing.