• NRA
    NRA We Serve America's Restaurants Representing nearly 500,000 restaurant businesses, we advocate for restaurant and foodservice industry interests and provide tools and systems that help members of all sizes achieve success.
  • NRAEF
    NRAEF Building & Retaining Talent The NRAEF is focused on developing a stronger workforce and building the next generation of industry leaders through education, scholarships and community engagement.
  • NRA Show
    NRA Show May 19-22, 2018 As the international foodservice marketplace, the NRA Show provides unparalleled opportunities for buyers and sellers to come together, conduct business and learn from each other.
  • ServSafe
    ServSafe Minimize Risk. Maximize Protection. For over 40 years, ServSafe® training programs have delivered the knowledge, leadership and protection that have earned the trust and confidence of business leaders everywhere.

National Restaurant Association - NRA helps spur health insurance market rule clarification

Skip to navigation Skip to content

News & Research

Share:
Email Print
News RSS

NRA helps spur health insurance market rule clarification

The work of National Restaurant Association helped ensure that employers won’t be blocked from buying insurance starting in 2014 if they can’t get a minimum percentage of employees to buy into the plans.

A rule clarification published Wednesday by the U.S. Department of Health and Human Services states that insurers must sell large- and small-group health plans to any employer that wishes to buy them, regardless of the employee participation level. Initially, the HHS rule stated that insurers offering plans in the “individual and group market” were required to sell to individuals or employers who wished to purchase plans, but did not state explicitly that the requirement applied to plans in both in the small- (fewer than 50 employees) and large- (more than 50 employees) group markets. As a result, many restaurant operators reported that insurers were still requiring participation rates in their contracts for 2014.  Large employers were particularly concerned that they’d be forced to pay penalties under the Affordable Care Act starting in 2015 for not offering coverage, even if insurers turned them down for coverage because they could not meet the participation rates.

NRA leaders met with the deputy HHS secretary in April to discuss concerns about insurers’ participation-rate requirements. In May, HHS contacted the NRA and said that the rule would be clarified to include small- and large-group plans. The regulation applies to plan years beginning on or after Jan. 1, 2014, for plans sold in the individual, small group, and large group markets.

The NRA’s work on this issue is part of its ongoing advocacy for reasonable changes to the health care law and flexibility in regulations to implement the law. Learn more about the NRA’s health care advocacy goals and how you can get involved at www.restaurant.org/healthcare.

Conserve RSS Healthcare RSS Conserve RSS

▲ Back to Top

New report

Spot Ad right

We're glad you're here!®

® 2012-2017 National Restaurant Association. All rights reserved.

2055 L St. NW, Suite 700, Washington, DC 20036
(202) 331-5900 | (800) 424-5156