Lifetime and annual limits
Extension of Dependent Coverage
Pre-Existing Conditions
Rescissions and Cancellation of Coverage
Minimum Loss Ration
Guarantee Issue
Individual Mandate
Health Insurance Exchanges
Adjusted Community Rating
- Prohibits lifetime limits
- Annual limits based on what health and human services deems reasonable
- Effective Date September 23, 2010
Extension of Dependent Coverage
- Insurance must provide coverage for dependent adult children up t 26
- Effective Date September 23, 2010
Pre-Existing Conditions
- No Pre-existing exclusions for enrollees who are under 19
- Effective Date September 23, 2010 (no pre-existing exclusion for adults effective January 1, 2014)
Rescissions and Cancellation of Coverage
- Rescission allowed only in cases of fraud
- Cancellation requires prior notice
- Effective Date September 23, 2010
Minimum Loss Ration
- 80% for individual and small group plans
- Effective Date January 1, 2011
Guarantee Issue
- Anyone who applies for insurance coverage must be issued insurance
- Effective Date January 1, 2014
Individual Mandate
- Requires every American to purchase health insurance
- Effective Date January 1, 2014
Health Insurance Exchanges
- A government- run system where consumers can compare the benefits, costs and track records of different insurance plans
- Effective Date January 1, 2014
Adjusted Community Rating
- Premium prices can not be based on gender or health
- Effective Date January 1, 2014






