The final rule primarily affects the individual health insurance market inside and outside of the Exchange, the small group health insurance market, issuers, and the states.
Through this final rule, CMS intends to enhance the states’ role in regulating insurance, promote state flexibility, reduce state administrative burdens, reduce issuer regulatory burdens, simplify the eligibility and enrollment process for consumers, strengthen program integrity, promote market stability, and make individual health insurance coverage more affordable.
This article highlights the regulations that most directly affect employers and their group health plans.