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Health insurance — Iowa

The Patient Protection and Affordable Care Act  (ACA) was enacted in 2010. It is complex and raises a number of issues for employers. Many of the rules for employers vary depending on the number of employees an employer has. The “large employer” threshold may be 25, 50, 100 or 200 employees, depending on the provision. 

This is a brief summary of key employer obligations under the ACA. For more information, see the official website for the ACA:

Grandfathered plans

Grandfather rules apply to existing plans and may alter the requirements for those plans. A “grandfathered plan” is a group health plan or individual health policy that was in effect on the date of enactment (March 23, 2010). Grandfathered plans are exempt from some of the rules under the ACA. However, grandfathered status does not exempt plans from the ACA entirely. Many provisions, including the employer mandate and certain market reforms, continue to apply.   

In general, in order to maintain grandfathered status, a plan must include a statement in its plan materials describing the benefits under the plan and stating that the plan...


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