New Affordable Care Act Mandated High Risk Pre-Existing Condition Insurance Pool Program Regulations Set Program Rules, Prohibit Plan Dumping of High Risk Members

nterim final rules (Regulations) implementing the implementation of the “Pre-Existing Condition Insurance Plan” (PCIP) program required by the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) became effective immediately upon their publication by the Department of Human Services on Friday, July 30, 2010. The Regulations published by HHS on July 30, 2010 define eligible individuals and detail the rules governing the establishment, implementation and administration of the PCIP program.   The Regulations also send a clear message that insurers and group health plans risk stiff penalties for engaging in activities that HHS considers inappropriate dumping from coverage of individuals with pre-existing conditions. Read details

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